31D0113849 CLIA NUMBER - SRINIVASA R MOVVA MD PCC

Laboratory Demographics

  • CLIA Code: 31D0113849
  • Facility Name: SRINIVASA R MOVVA MD PCC
  • Facility Address: 1041 HIGHWAY 36, SUITE 300
    ATLANTIC HIGHLANDS, NJ
    ZIP 07716
  • Facility Phone: 732 291-3430
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SRINIVASA R. MOVVA
  • NPI Number: 1114140365
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0113849
LAB Type Physician Office
Facility Name SRINIVASA R MOVVA MD PCC
Street 1041 HIGHWAY 36, SUITE 300
City ATLANTIC HIGHLANDS
State NJ
ZIP 07716
Phone 732 291-3430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director SRINIVASA R. MOVVA

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