11D2223235 CLIA NUMBER - VEEDHATA OM LLC DBA PRIME DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 11D2223235
  • Facility Name: VEEDHATA OM LLC DBA PRIME DIAGNOSTICS
  • Facility Address: 3386 GREYSTONE WAY
    VALDOSTA, GA
    ZIP 31605
  • Facility Phone: 917 272-3468
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. SAMIR K. GUNJAN
  • NPI Number: 1831851039
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 11D2223235
LAB Type Independent
Facility Name VEEDHATA OM LLC DBA PRIME DIAGNOSTICS
Street 3386 GREYSTONE WAY
City VALDOSTA
State GA
ZIP 31605
Phone 917 272-3468
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Independent
Lab Director DR. SAMIR K. GUNJAN

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