45D2005229 CLIA NUMBER - SHRIDHAR KOTTA MD PA

Laboratory Demographics

  • CLIA Code: 45D2005229
  • Facility Name: SHRIDHAR KOTTA MD PA
  • Facility Address: 512 VICTORIA LANE SUITE #4
    HARLINGEN, TX
    ZIP 78550
  • Facility Phone: 956 421-5207
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHRIDHAR KOTTA
  • NPI Number: 1265663165
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2005229
LAB Type Physician Office
Facility Name SHRIDHAR KOTTA MD PA
Street 512 VICTORIA LANE SUITE #4
City HARLINGEN
State TX
ZIP 78550
Phone 956 421-5207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Physician Office
Lab Director SHRIDHAR KOTTA

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