45D0483901 CLIA NUMBER - MALLADI & REDDY LAB

Laboratory Demographics

  • CLIA Code: 45D0483901
  • Facility Name: MALLADI & REDDY LAB
  • Facility Address: 319 GASLIGHT BOULEVARD
    LUFKIN, TX
    ZIP 75904
  • Facility Phone: 936 634-3713
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARIELA DE L VASQUEZ
  • NPI Number: 1508986373
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0483901
LAB Type Physician Office
Facility Name MALLADI & REDDY LAB
Street 319 GASLIGHT BOULEVARD
City LUFKIN
State TX
ZIP 75904
Phone 936 634-3713
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director MARIELA DE L VASQUEZ

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