45D0485503 CLIA NUMBER - ANANTHA R BHANDARI MD

Laboratory Demographics

  • CLIA Code: 45D0485503
  • Facility Name: ANANTHA R BHANDARI MD
  • Facility Address: 102 HOLLY HILL ROAD
    MINERAL WELLS, TX
    ZIP 76067
  • Facility Phone: 940 325-0789
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANANTHA BHANDARI
  • NPI Number: 1497711337
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0485503
LAB Type Physician Office
Facility Name ANANTHA R BHANDARI MD
Street 102 HOLLY HILL ROAD
City MINERAL WELLS
State TX
ZIP 76067
Phone 940 325-0789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director ANANTHA BHANDARI

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