45D1036428 CLIA NUMBER - SRILATHA REDDY'S FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 45D1036428
  • Facility Name: SRILATHA REDDY'S FAMILY PRACTICE
  • Facility Address: 3600 CLONFLANS RD, STE 100
    IRVING, TX
    ZIP 75061
  • Facility Phone: 972 870-0788
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SRILATHA A. REDDY
  • NPI Number: 1942415930
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1036428
LAB Type Physician Office
Facility Name SRILATHA REDDY'S FAMILY PRACTICE
Street 3600 CLONFLANS RD, STE 100
City IRVING
State TX
ZIP 75061
Phone 972 870-0788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director SRILATHA A. REDDY

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