31D0118059 CLIA NUMBER - DEVINENI PRASAD MD

Laboratory Demographics

  • CLIA Code: 31D0118059
  • Facility Name: DEVINENI PRASAD MD
  • Facility Address: 777 WHITE HORSE PIKE
    HAMMONTON, NJ
    ZIP 08037
  • Facility Phone: 609 567-0608
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEVINENI R. PRASAD
  • NPI Number: 1154585545
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0118059
LAB Type Physician Office
Facility Name DEVINENI PRASAD MD
Street 777 WHITE HORSE PIKE
City HAMMONTON
State NJ
ZIP 08037
Phone 609 567-0608
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 DEVINENI R. PRASAD

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