10D1050101 CLIA NUMBER - KEERTINI KUMAR MD PA

Laboratory Demographics

  • CLIA Code: 10D1050101
  • Facility Name: KEERTINI KUMAR MD PA
  • Facility Address: 8618 SW 103RD ST RD
    OCALA, FL
    ZIP 34481
  • Facility Phone: (952) 861-6633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEERTINI KUMAR
  • NPI Number: 1417940297
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1050101
LAB Type Physician Office
Facility Name KEERTINI KUMAR MD PA
Street 8618 SW 103RD ST RD
City OCALA
State FL
ZIP 34481
Phone 9528616633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2026
Certificate Expiration Date 1/24/2028
Facility Type Physician Office
Lab Director KEERTINI KUMAR

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This page was last updated on: 5/15/2026