45D1099188 CLIA NUMBER - SANJOY SUNDARESAN, MD, PA

Laboratory Demographics

  • CLIA Code: 45D1099188
  • Facility Name: SANJOY SUNDARESAN, MD, PA
  • Facility Address: 1511 TENTH STREET
    WICHITA FALLS, TX
    ZIP 76301
  • Facility Phone: 940 767-0818
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJOY SUNDARESAN, MD
  • NPI Number: 1376504894
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D1099188
LAB Type Physician Office
Facility Name SANJOY SUNDARESAN, MD, PA
Street 1511 TENTH STREET
City WICHITA FALLS
State TX
ZIP 76301
Phone 940 767-0818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Physician Office
Lab Director SANJOY SUNDARESAN, MD

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