45D0970900 CLIA NUMBER - ANURADHA KANTAMANI, MD, PA

Laboratory Demographics

  • CLIA Code: 45D0970900
  • Facility Name: ANURADHA KANTAMANI, MD, PA
  • Facility Address: 701 S FRY RD, STE 105
    KATY, TX
    ZIP 77450
  • Facility Phone: 281 398-5863
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANURADHA KANTAMANI MD
  • NPI Number: 1649244054
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0970900
LAB Type Physician Office
Facility Name ANURADHA KANTAMANI, MD, PA
Street 701 S FRY RD, STE 105
City KATY
State TX
ZIP 77450
Phone 281 398-5863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director ANURADHA KANTAMANI MD

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