36D0965763 CLIA NUMBER - KRISHNA M RAGOTHAMAN MD INC

Laboratory Demographics

  • CLIA Code: 36D0965763
  • Facility Name: KRISHNA M RAGOTHAMAN MD INC
  • Facility Address: 128 LOCUST STREET
    OAK HARBOR, OH
    ZIP 43449
  • Facility Phone: 419 898-8124
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISHNA M. RAGOTHAMAN MD
  • NPI Number: 1295738235
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0965763
LAB Type Physician Office
Facility Name KRISHNA M RAGOTHAMAN MD INC
Street 128 LOCUST STREET
City OAK HARBOR
State OH
ZIP 43449
Phone 419 898-8124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director KRISHNA M. RAGOTHAMAN MD

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