45D2041182 CLIA NUMBER - MADHAVAN PISHARODI MD PA

Laboratory Demographics

  • CLIA Code: 45D2041182
  • Facility Name: MADHAVAN PISHARODI MD PA
  • Facility Address: 3475 W ALTON GLOOR, SUITE B
    BROWNSVILLE, TX
    ZIP 78520
  • Facility Phone: 956 541-6725
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MADHAVAN PISHARODI
  • NPI Number: 1083685812
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 45D2041182
LAB Type Physician Office
Facility Name MADHAVAN PISHARODI MD PA
Street 3475 W ALTON GLOOR, SUITE B
City BROWNSVILLE
State TX
ZIP 78520
Phone 956 541-6725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director MADHAVAN PISHARODI

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