19D0713854 CLIA NUMBER - REDDY FAMILY MEDICAL CLINIC-DONALDSONVILLE

Laboratory Demographics

  • CLIA Code: 19D0713854
  • Facility Name: REDDY FAMILY MEDICAL CLINIC-DONALDSONVILLE
  • Facility Address: 217 RAILROAD AVENUE
    DONALDSONVILLE, LA
    ZIP 70346
  • Facility Phone: 225 473-3931
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAGARATNA REDDY
  • NPI Number: 1073639084
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0713854
LAB Type Physician Office
Facility Name REDDY FAMILY MEDICAL CLINIC-DONALDSONVILLE
Street 217 RAILROAD AVENUE
City DONALDSONVILLE
State LA
ZIP 70346
Phone 225 473-3931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director NAGARATNA REDDY

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