36D0714473 CLIA NUMBER - SUDESH REDDY MD

Laboratory Demographics

  • CLIA Code: 36D0714473
  • Facility Name: SUDESH REDDY MD
  • Facility Address: 402 SOUTH STATE STREET
    MARION, OH
    ZIP 43302
  • Facility Phone: 740 387-0650
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SUDESH S. REDDY MD
  • NPI Number: 1104015775
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0714473
LAB Type Physician Office
Facility Name SUDESH REDDY MD
Street 402 SOUTH STATE STREET
City MARION
State OH
ZIP 43302
Phone 740 387-0650
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Physician Office
Lab Director SUDESH S. REDDY MD

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