36D2017918 CLIA NUMBER - ANIL NALLURI MD

Laboratory Demographics

  • CLIA Code: 36D2017918
  • Facility Name: ANIL NALLURI MD
  • Facility Address: 5500 MARKET STREET SUITE 128
    YOUNGSTOWN, OH
    ZIP 44512
  • Facility Phone: 330 783-1147
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIL NALLURI
  • NPI Number: 1467420919
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D2017918
LAB Type Physician Office
Facility Name ANIL NALLURI MD
Street 5500 MARKET STREET SUITE 128
City YOUNGSTOWN
State OH
ZIP 44512
Phone 330 783-1147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director ANIL NALLURI

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