10D2211469 CLIA NUMBER - CAREMED CLINIC LLC

Laboratory Demographics

  • CLIA Code: 10D2211469
  • Facility Name: CAREMED CLINIC LLC
  • Facility Address: 951 PRIM AVE
    GRACEVILLE, FL
    ZIP 32440
  • Facility Phone: 850 526-3314
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MURALI KRISHNA MADDIPATI
  • NPI Number: 1134774623
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2211469
LAB Type Physician Office
Facility Name CAREMED CLINIC LLC
Street 951 PRIM AVE
City GRACEVILLE
State FL
ZIP 32440
Phone 850 526-3314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director MURALI KRISHNA MADDIPATI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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