45D0712567 CLIA NUMBER - SREEMAN N JAMPANA

Laboratory Demographics

  • CLIA Code: 45D0712567
  • Facility Name: SREEMAN N JAMPANA
  • Facility Address: 1603 JUDSON ROAD
    LONGVIEW, TX
    ZIP 75601
  • Facility Phone: (903) 758-4491
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SREEMANNARAYANA JAMPANA
  • NPI Number: 1790776466
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0712567
LAB Type Physician Office
Facility Name SREEMAN N JAMPANA
Street 1603 JUDSON ROAD
City LONGVIEW
State TX
ZIP 75601
Phone 9037584491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director SREEMANNARAYANA JAMPANA

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This page was last updated on: 5/15/2026