23D0726220 CLIA NUMBER - JITENDRA P KATNENI MD

Laboratory Demographics

  • CLIA Code: 23D0726220
  • Facility Name: JITENDRA P KATNENI MD
  • Facility Address: 1170 CHARTER DRIVE SUITE A
    FLINT, MI
    ZIP 48532
  • Facility Phone: 810 733-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JITENDRA P. KATNENI
  • NPI Number: 1710949813
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0726220
LAB Type Physician Office
Facility Name JITENDRA P KATNENI MD
Street 1170 CHARTER DRIVE SUITE A
City FLINT
State MI
ZIP 48532
Phone 810 733-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JITENDRA P. KATNENI

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