10D0988050 CLIA NUMBER - DRS RAJA & RAJA PA

Laboratory Demographics

  • CLIA Code: 10D0988050
  • Facility Name: DRS RAJA & RAJA PA
  • Facility Address: 900 E PINE ST # 215
    ENGLEWOOD, FL
    ZIP 34223
  • Facility Phone: 941 475-5672
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PREMALA RAJA
  • NPI Number: 1174810642
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0988050
LAB Type Physician Office
Facility Name DRS RAJA & RAJA PA
Street 900 E PINE ST # 215
City ENGLEWOOD
State FL
ZIP 34223
Phone 941 475-5672
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director PREMALA RAJA

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