31D2056612 CLIA NUMBER - RADHA VINNAKOTA, MD

Laboratory Demographics

  • CLIA Code: 31D2056612
  • Facility Name: RADHA VINNAKOTA, MD
  • Facility Address: 2013 PARK AVENUE
    SOUTH PLAINFIELD, NJ
    ZIP 07080
  • Facility Phone: 908 755-5599
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RADHA VINNAKOTA
  • NPI Number: 1184718306
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 31D2056612
LAB Type Physician Office
Facility Name RADHA VINNAKOTA, MD
Street 2013 PARK AVENUE
City SOUTH PLAINFIELD
State NJ
ZIP 07080
Phone 908 755-5599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director RADHA VINNAKOTA

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