21D1057313 CLIA NUMBER - VIJAYALAKSHMI REDDY MD LLC

Laboratory Demographics

  • CLIA Code: 21D1057313
  • Facility Name: VIJAYALAKSHMI REDDY MD LLC
  • Facility Address: 821 N EUTAW STREET SUITE 303
    BALTIMORE, MD
    ZIP 21201
  • Facility Phone: 410 383-4102
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIJAYALAKSHAMI REDDY
  • NPI Number: 1992869572
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1057313
LAB Type Physician Office
Facility Name VIJAYALAKSHMI REDDY MD LLC
Street 821 N EUTAW STREET SUITE 303
City BALTIMORE
State MD
ZIP 21201
Phone 410 383-4102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director VIJAYALAKSHAMI REDDY

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