19D0954076 CLIA NUMBER - REDDY FAMILY MEDICAL CLINIC-PLAQUEMINE

Laboratory Demographics

  • CLIA Code: 19D0954076
  • Facility Name: REDDY FAMILY MEDICAL CLINIC-PLAQUEMINE
  • Facility Address: 58725 BELLEVIEW ROAD A-5
    PLAQUEMINE, LA
    ZIP 70764
  • Facility Phone: 225 687-6200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAGARATNA REDDY MD
  • NPI Number: 1811013709
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0954076
LAB Type Physician Office
Facility Name REDDY FAMILY MEDICAL CLINIC-PLAQUEMINE
Street 58725 BELLEVIEW ROAD A-5
City PLAQUEMINE
State LA
ZIP 70764
Phone 225 687-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director NAGARATNA REDDY MD

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