10D0946299 CLIA NUMBER - SREENIVAS P VANGARA

Laboratory Demographics

  • CLIA Code: 10D0946299
  • Facility Name: SREENIVAS P VANGARA
  • Facility Address: 5515 GULF DR STE B
    NEW PORT RICHEY, FL
    ZIP 34652
  • Facility Phone: 727 848-3995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SREENIVAS VANGARA
  • NPI Number: 1497755771
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0946299
LAB Type Physician Office
Facility Name SREENIVAS P VANGARA
Street 5515 GULF DR STE B
City NEW PORT RICHEY
State FL
ZIP 34652
Phone 727 848-3995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director SREENIVAS VANGARA

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