14D2068169 CLIA NUMBER - RENUKA RAMAKRISHNA M D S C

Laboratory Demographics

  • CLIA Code: 14D2068169
  • Facility Name: RENUKA RAMAKRISHNA M D S C
  • Facility Address: 400 N WALL ST, STE 308
    KANKAKEE, IL
    ZIP 60901
  • Facility Phone: 815 936-7122
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RENUKA J. RAMAKRISHNA M D
  • NPI Number: 1548214711
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D2068169
LAB Type Physician Office
Facility Name RENUKA RAMAKRISHNA M D S C
Street 400 N WALL ST, STE 308
City KANKAKEE
State IL
ZIP 60901
Phone 815 936-7122
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director RENUKA J. RAMAKRISHNA M D

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