45D2100105 CLIA NUMBER - VENKATESAN D VIDI, MD, PLLC

Laboratory Demographics

  • CLIA Code: 45D2100105
  • Facility Name: VENKATESAN D VIDI, MD, PLLC
  • Facility Address: 1305 AIRPORT FREEWAY SUITE 424B
    BEDFORD, TX
    ZIP 76021
  • Facility Phone: 817 510-1060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VENKATESAN D. VIDI
  • NPI Number: 1962673392
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2100105
LAB Type Physician Office
Facility Name VENKATESAN D VIDI, MD, PLLC
Street 1305 AIRPORT FREEWAY SUITE 424B
City BEDFORD
State TX
ZIP 76021
Phone 817 510-1060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director VENKATESAN D. VIDI

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