45D2008759 CLIA NUMBER - ASHA KANCHARLA MD PA

Laboratory Demographics

  • CLIA Code: 45D2008759
  • Facility Name: ASHA KANCHARLA MD PA
  • Facility Address: 126 MEDICAL DRIVE STE A
    PALESTINE, TX
    ZIP 75801
  • Facility Phone: 903 723-1940
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHA KANCHARLA
  • NPI Number: 1225012271
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 45D2008759
LAB Type Physician Office
Facility Name ASHA KANCHARLA MD PA
Street 126 MEDICAL DRIVE STE A
City PALESTINE
State TX
ZIP 75801
Phone 903 723-1940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director ASHA KANCHARLA

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