15D0916077 CLIA NUMBER - SRI SAI PC

Laboratory Demographics

  • CLIA Code: 15D0916077
  • Facility Name: SRI SAI PC
  • Facility Address: 7972 W JEFFERSON BLVD
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: 260 436-0281
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANURADHA KOLLIPARA
  • NPI Number: 1609019900
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0916077
LAB Type Physician Office
Facility Name SRI SAI PC
Street 7972 W JEFFERSON BLVD
City FORT WAYNE
State IN
ZIP 46804
Phone 260 436-0281
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 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director ANURADHA KOLLIPARA

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