45D0508782 CLIA NUMBER - MANISH DIMRI MD PA

Laboratory Demographics

  • CLIA Code: 45D0508782
  • Facility Name: MANISH DIMRI MD PA
  • Facility Address: 1816 N MIDLAND DR
    MIDLAND, TX
    ZIP 79707
  • Facility Phone: 915 699-5111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAITHANI VANDANA
  • NPI Number: 1740552736
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D0508782
LAB Type Physician Office
Facility Name MANISH DIMRI MD PA
Street 1816 N MIDLAND DR
City MIDLAND
State TX
ZIP 79707
Phone 915 699-5111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director NAITHANI VANDANA

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