10D1014053 CLIA NUMBER - MANOHAR G REDDY MD PA

Laboratory Demographics

  • CLIA Code: 10D1014053
  • Facility Name: MANOHAR G REDDY MD PA
  • Facility Address: 2551 W EAU GALLIE BLVD STE 101
    MELBOURNE, FL
    ZIP 32935
  • Facility Phone: 321 752-5544
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANOHAR G. REDDY MD
  • NPI Number: 1356385165
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1014053
LAB Type Physician Office
Facility Name MANOHAR G REDDY MD PA
Street 2551 W EAU GALLIE BLVD STE 101
City MELBOURNE
State FL
ZIP 32935
Phone 321 752-5544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director MANOHAR G. REDDY MD

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