15D1024633 CLIA NUMBER - SURESH D REDDY MD LLC

Laboratory Demographics

  • CLIA Code: 15D1024633
  • Facility Name: SURESH D REDDY MD LLC
  • Facility Address: 8777 BROADWAY STE A
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 756-0960
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SURESH D. REDDY
  • NPI Number: 1437117249
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1024633
LAB Type Physician Office
Facility Name SURESH D REDDY MD LLC
Street 8777 BROADWAY STE A
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 756-0960
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 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director DR. SURESH D. REDDY

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