Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
14D2068169
|
|
Clinical laboratory number
|
|
Lab Name
|
RENUKA RAMAKRISHNA M D S C
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
PPMP
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
815-936-7122
|
|
Laboratory telephone number
|
|
Fax
|
815-936-7339
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
400 N WALL ST, STE 308
|
|
Primary location adress line
|
|
City
|
KANKAKEE
|
|
Primary location city name
|
|
State
|
IL
|
|
Primary location state name
|
|
Zip
|
60901
|
|
Primary location postal code
|