34D1077160 CLIA NUMBER - MARUTHI PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 34D1077160
  • Facility Name: MARUTHI PEDIATRICS, PLLC
  • Facility Address: 110 LATTNER COURT, SUITE 100
    MORRISVILLE, NC
    ZIP 27560
  • Facility Phone: 919 462-6206
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BADRIPRASAD DONTHI
  • NPI Number: 1518148014
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D1077160
LAB Type Physician Office
Facility Name MARUTHI PEDIATRICS, PLLC
Street 110 LATTNER COURT, SUITE 100
City MORRISVILLE
State NC
ZIP 27560
Phone 919 462-6206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director BADRIPRASAD DONTHI

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