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45D2161160 CLIA NUMBER - PURNIMA VENKATESH, MD, PA

Laboratory Demographics

CLIA Number: 45D2161160

Facility Name: PURNIMA VENKATESH, MD, PA

Facility Address:
2305 CENTRAL PARK BLVD
BEDFORD, TX
ZIP 76022
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Facility Phone Number: 817 571-6622

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1215076492

Taxonomy: 207K00000X - Allergy & Immunology
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

CLIA Record

Field Name Field Value
CLIA Number 45D2161160
LAB Type Physician Office
Facility Name PURNIMA VENKATESH, MD, PA
Street 2305 CENTRAL PARK BLVD
City BEDFORD
State TX
ZIP 76022
Phone 817 571-6622
CertificateType 3
CertificateEffectiveDate 1/28/2023
CertificateExpirationDate 1/27/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024