10D0972782 CLIA NUMBER - RAMAKRISHNA P KANURI MD PA

Laboratory Demographics

  • CLIA Code: 10D0972782
  • Facility Name: RAMAKRISHNA P KANURI MD PA
  • Facility Address: 12190 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34613
  • Facility Phone: 352 597-1206
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. HUNG LEE
  • NPI Number: 1487615712
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0972782
LAB Type Physician Office
Facility Name RAMAKRISHNA P KANURI MD PA
Street 12190 CORTEZ BLVD
City BROOKSVILLE
State FL
ZIP 34613
Phone 352 597-1206
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director DR. HUNG LEE

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