45D0908203 CLIA NUMBER - SURYA P LANKA MD

Laboratory Demographics

  • CLIA Code: 45D0908203
  • Facility Name: SURYA P LANKA MD
  • Facility Address: 2019-B SOUTH HENDERSON BLVD # 12
    KILGORE, TX
    ZIP 75662
  • Facility Phone: 903 984-7515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SURYA P. LANKA
  • NPI Number: 1144213869
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0908203
LAB Type Physician Office
Facility Name SURYA P LANKA MD
Street 2019-B SOUTH HENDERSON BLVD # 12
City KILGORE
State TX
ZIP 75662
Phone 903 984-7515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director SURYA P. LANKA

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