45D2002580 CLIA NUMBER - MEERA KODITYAL

Laboratory Demographics

  • CLIA Code: 45D2002580
  • Facility Name: MEERA KODITYAL
  • Facility Address: 315 N GOLDER
    ODESSA, TX
    ZIP 79761
  • Facility Phone: 432 337-0555
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MEERA KODITYAL
  • NPI Number: 1609977651
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2002580
LAB Type Independent
Facility Name MEERA KODITYAL
Street 315 N GOLDER
City ODESSA
State TX
ZIP 79761
Phone 432 337-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Independent
Lab Director MEERA KODITYAL

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