10D2062484 CLIA NUMBER - VIJAY KONDA MD PA

Laboratory Demographics

  • CLIA Code: 10D2062484
  • Facility Name: VIJAY KONDA MD PA
  • Facility Address: 3447 PINE RIDGE RD STE 101
    NAPLES, FL
    ZIP 34109
  • Facility Phone: 239 260-7610
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIJAY K. KONDA
  • NPI Number: 1366556821
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2062484
LAB Type Physician Office
Facility Name VIJAY KONDA MD PA
Street 3447 PINE RIDGE RD STE 101
City NAPLES
State FL
ZIP 34109
Phone 239 260-7610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Physician Office
Lab Director VIJAY K. KONDA

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