45D2121089 CLIA NUMBER - SUMAN C RAVURI MD PA

Laboratory Demographics

  • CLIA Code: 45D2121089
  • Facility Name: SUMAN C RAVURI MD PA
  • Facility Address: 800 BONAVENTURE WAY, SUITE 128
    SUGAR LAND, TX
    ZIP 77479
  • Facility Phone: 832 532-0370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVURI C. SUMAN
  • NPI Number: 1659398089
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2121089
LAB Type Physician Office
Facility Name SUMAN C RAVURI MD PA
Street 800 BONAVENTURE WAY, SUITE 128
City SUGAR LAND
State TX
ZIP 77479
Phone 832 532-0370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director RAVURI C. SUMAN

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