45D1106416 CLIA NUMBER - SUNANDA CHERUKURI, MD

Laboratory Demographics

  • CLIA Code: 45D1106416
  • Facility Name: SUNANDA CHERUKURI, MD
  • Facility Address: 3900 W 15TH STREET, SUITE # 205
    PLANO, TX
    ZIP 75075
  • Facility Phone: 972 231-6533
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNANDA CHERUKURI
  • NPI Number: 1477552511
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1106416
LAB Type Physician Office
Facility Name SUNANDA CHERUKURI, MD
Street 3900 W 15TH STREET, SUITE # 205
City PLANO
State TX
ZIP 75075
Phone 972 231-6533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director SUNANDA CHERUKURI

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