10D0939239 CLIA NUMBER - PRASAD KONDA MD

Laboratory Demographics

  • CLIA Code: 10D0939239
  • Facility Name: PRASAD KONDA MD
  • Facility Address: 13005 SOUTHERN BLVD, SUITE 145
    LOXAHATCHEE, FL
    ZIP 33470
  • Facility Phone: 561 798-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRASAD KONDA MD
  • NPI Number: 1598730079
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0939239
LAB Type Physician Office
Facility Name PRASAD KONDA MD
Street 13005 SOUTHERN BLVD, SUITE 145
City LOXAHATCHEE
State FL
ZIP 33470
Phone 561 798-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Physician Office
Lab Director PRASAD KONDA MD

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This page was last updated on: 9/29/2025