45D2011698 CLIA NUMBER - SRIDEVI PAVULURI MD PA

Laboratory Demographics

  • CLIA Code: 45D2011698
  • Facility Name: SRIDEVI PAVULURI MD PA
  • Facility Address: 3828 HUGHES CT STE 201
    DICKINSON, TX
    ZIP 77539
  • Facility Phone: 281 534-9050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SRIDEVI PAVULURI
  • NPI Number: 1275578445
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2011698
LAB Type Physician Office
Facility Name SRIDEVI PAVULURI MD PA
Street 3828 HUGHES CT STE 201
City DICKINSON
State TX
ZIP 77539
Phone 281 534-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director SRIDEVI PAVULURI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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