10D0988050 CLIA NUMBER - DRS RAJA & RAJA PA

Laboratory Demographics

CLIA Number: 10D0988050

Facility Name: DRS RAJA & RAJA PA

Facility Address:
900 E PINE ST # 215
ENGLEWOOD, FL
ZIP 34223
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Facility Phone Number: (941) 475-5672

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1174810642

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

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This page was last updated on: 5/11/2023