19D1025161 CLIA NUMBER - DAVULURI CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 19D1025161
  • Facility Name: DAVULURI CHILDRENS CLINIC
  • Facility Address: 1020 LEE AVENUE
    HOUMA, LA
    ZIP 70360
  • Facility Phone: 985 868-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MURALI DABULURI
  • NPI Number: 1043363260
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D1025161
LAB Type Physician Office
Facility Name DAVULURI CHILDRENS CLINIC
Street 1020 LEE AVENUE
City HOUMA
State LA
ZIP 70360
Phone 985 868-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director MURALI DABULURI

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