39D1014580 CLIA NUMBER - REGIONAL HG/MLOB EXTON

Laboratory Demographics

  • CLIA Code: 39D1014580
  • Facility Name: REGIONAL HG/MLOB EXTON
  • Facility Address: 495 THOMAS JONES WAY SUITE 210
    EXTON, PA
    ZIP 19341
  • Facility Phone: 610 688-3744
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RADHIKA P. KAKARLA
  • NPI Number: 1376988410
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D1014580
LAB Type Physician Office
Facility Name REGIONAL HG/MLOB EXTON
Street 495 THOMAS JONES WAY SUITE 210
City EXTON
State PA
ZIP 19341
Phone 610 688-3744
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 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director DR. RADHIKA P. KAKARLA

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