15D2120496 CLIA NUMBER - ADVANCED ENT & ALLERGY

Laboratory Demographics

  • CLIA Code: 15D2120496
  • Facility Name: ADVANCED ENT & ALLERGY
  • Facility Address: 108 W DAISY LANE
    NEW ALBANY, IN
    ZIP 47150
  • Facility Phone: 812 945-3557
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VENKATA V. KAKARLAPUDI
  • NPI Number: 1124031539
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 15D2120496
LAB Type Physician Office
Facility Name ADVANCED ENT & ALLERGY
Street 108 W DAISY LANE
City NEW ALBANY
State IN
ZIP 47150
Phone 812 945-3557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director VENKATA V. KAKARLAPUDI

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