45D0927529 CLIA NUMBER - AIRLINE PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 45D0927529
  • Facility Name: AIRLINE PEDIATRICS PA
  • Facility Address: 601 EAST AIRLINE ROAD
    VICTORIA, TX
    ZIP 77901
  • Facility Phone: 361 575-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SURESH N. PATHIKONDA MD
  • NPI Number: 1508804121
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 45D0927529
LAB Type Physician Office
Facility Name AIRLINE PEDIATRICS PA
Street 601 EAST AIRLINE ROAD
City VICTORIA
State TX
ZIP 77901
Phone 361 575-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director SURESH N. PATHIKONDA MD

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