39D2125808 CLIA NUMBER - KAMLA MISHRA INTEGRATED MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 39D2125808
  • Facility Name: KAMLA MISHRA INTEGRATED MEDICAL GROUP
  • Facility Address: 700 SCHUYLKILL MANOR RD SUITE 5A
    POTTSVILLE, PA
    ZIP 17901
  • Facility Phone: 570 516-9444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KAMLA K. MISHRA
  • NPI Number: 1972581924
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2125808
LAB Type Physician Office
Facility Name KAMLA MISHRA INTEGRATED MEDICAL GROUP
Street 700 SCHUYLKILL MANOR RD SUITE 5A
City POTTSVILLE
State PA
ZIP 17901
Phone 570 516-9444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director DR. KAMLA K. MISHRA

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