45D2161160 CLIA NUMBER - PURNIMA VENKATESH, MD, PA

Laboratory Demographics

  • CLIA Code: 45D2161160
  • Facility Name: PURNIMA VENKATESH, MD, PA
  • Facility Address: 2305 CENTRAL PARK BLVD
    BEDFORD, TX
    ZIP 76022
  • Facility Phone: 817 571-6622
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PURNIMA VENKATESH
  • NPI Number: 1215076492
  • Taxonomy: 207K00000X - Allergy & Immunology

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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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director PURNIMA VENKATESH

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