10D0962966 CLIA NUMBER - SUDARSAN KAMISETTY MD PA

Laboratory Demographics

  • CLIA Code: 10D0962966
  • Facility Name: SUDARSAN KAMISETTY MD PA
  • Facility Address: 681 W LUMSDEN RD
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 655-7726
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUDARSAN R. KAMISETTY
  • NPI Number: 1376793331
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0962966
LAB Type Physician Office
Facility Name SUDARSAN KAMISETTY MD PA
Street 681 W LUMSDEN RD
City BRANDON
State FL
ZIP 33511
Phone 813 655-7726
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director SUDARSAN R. KAMISETTY

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