15D0986658 CLIA NUMBER - KAMESWARI KALLURI MD

Laboratory Demographics

  • CLIA Code: 15D0986658
  • Facility Name: KAMESWARI KALLURI MD
  • Facility Address: 10010 DONALD POWERS DRIVE
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 836-8085
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMESWARI KALLURI
  • NPI Number: 1700815644
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0986658
LAB Type Physician Office
Facility Name KAMESWARI KALLURI MD
Street 10010 DONALD POWERS DRIVE
City MUNSTER
State IN
ZIP 46321
Phone 219 836-8085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director KAMESWARI KALLURI

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