45D2250297 CLIA NUMBER - GONNALAGADDA, PLLC

Laboratory Demographics

  • CLIA Code: 45D2250297
  • Facility Name: GONNALAGADDA, PLLC
  • Facility Address: 5140 LEGENDARY DRIVE SUITE 100
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 972 867-9507
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SREERAM GONNALAGADDA
  • NPI Number: 1851774079
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2250297
LAB Type Physician Office
Facility Name GONNALAGADDA, PLLC
Street 5140 LEGENDARY DRIVE SUITE 100
City FRISCO
State TX
ZIP 75034
Phone 972 867-9507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director SREERAM GONNALAGADDA

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