39D2262070 CLIA NUMBER - REGIONAL WOMENS HG/MLOB PAOLI

Laboratory Demographics

  • CLIA Code: 39D2262070
  • Facility Name: REGIONAL WOMENS HG/MLOB PAOLI
  • Facility Address: 4 INDUSTRIAL BLVD #110
    PAOLI, PA
    ZIP 19301
  • Facility Phone: 610 688-3744
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RADHIKA P. KAKARLA
  • NPI Number: 1023171527
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D2262070
LAB Type Physician Office
Facility Name REGIONAL WOMENS HG/MLOB PAOLI
Street 4 INDUSTRIAL BLVD #110
City PAOLI
State PA
ZIP 19301
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 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director DR. RADHIKA P. KAKARLA

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