10D2282618 CLIA NUMBER - KIRAN TIRUMALASETTY LLC

Laboratory Demographics

  • CLIA Code: 10D2282618
  • Facility Name: KIRAN TIRUMALASETTY LLC
  • Facility Address: 9332 STATE RD 54 - #202
    TRINITY, FL
    ZIP 34655
  • Facility Phone: 727 597-4441
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIRAN TIRUMALASETTY
  • NPI Number: 1104480854
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2282618
LAB Type Physician Office
Facility Name KIRAN TIRUMALASETTY LLC
Street 9332 STATE RD 54 - #202
City TRINITY
State FL
ZIP 34655
Phone 727 597-4441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director KIRAN TIRUMALASETTY

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