23D0935079 CLIA NUMBER - RAJAMATHIAS Y REDDY MD

Laboratory Demographics

  • CLIA Code: 23D0935079
  • Facility Name: RAJAMATHIAS Y REDDY MD
  • Facility Address: 901 KIMOLE LANE SUITE B3
    ADRIAN, MI
    ZIP 49221
  • Facility Phone: 517 263-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJAMATHIAS Y. REDDY
  • NPI Number: 1225127848
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D0935079
LAB Type Physician Office
Facility Name RAJAMATHIAS Y REDDY MD
Street 901 KIMOLE LANE SUITE B3
City ADRIAN
State MI
ZIP 49221
Phone 517 263-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2023
Certificate Expiration Date 10/20/2025
Facility Type Physician Office
Lab Director RAJAMATHIAS Y. REDDY

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