45D1048606 CLIA NUMBER - SREEDHAR POLAVARAPU MD PA

Laboratory Demographics

  • CLIA Code: 45D1048606
  • Facility Name: SREEDHAR POLAVARAPU MD PA
  • Facility Address: 3216 NEDERLAND AVE
    NEDERLAND, TX
    ZIP 77627
  • Facility Phone: 409 722-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SREEDHAR POLAVARAPU
  • NPI Number: 1427040815
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1048606
LAB Type Physician Office
Facility Name SREEDHAR POLAVARAPU MD PA
Street 3216 NEDERLAND AVE
City NEDERLAND
State TX
ZIP 77627
Phone 409 722-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director SREEDHAR POLAVARAPU

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