23D1090012 CLIA NUMBER - DAMAYANTHI PANDRANGI MD

Laboratory Demographics

  • CLIA Code: 23D1090012
  • Facility Name: DAMAYANTHI PANDRANGI MD
  • Facility Address: 1170 CHARTER DRIVE SUITE E
    FLINT, MI
    ZIP 48532
  • Facility Phone: 810 733-0500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAMAYANTHI V. PANDRANGI
  • NPI Number: 1225205776
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1090012
LAB Type Physician Office
Facility Name DAMAYANTHI PANDRANGI MD
Street 1170 CHARTER DRIVE SUITE E
City FLINT
State MI
ZIP 48532
Phone 810 733-0500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director DAMAYANTHI V. PANDRANGI

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