45D2132503 CLIA NUMBER - BRENDA THARIAN MD PLLC

Laboratory Demographics

  • CLIA Code: 45D2132503
  • Facility Name: BRENDA THARIAN MD PLLC
  • Facility Address: 129 VISION PARK BLVD STE 301
    SHENANDOAH, TX
    ZIP 77384
  • Facility Phone: 936 647-2184
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DIANE SCADUTO
  • NPI Number: 1417363722
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D2132503
LAB Type Physician Office
Facility Name BRENDA THARIAN MD PLLC
Street 129 VISION PARK BLVD STE 301
City SHENANDOAH
State TX
ZIP 77384
Phone 936 647-2184
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director DIANE SCADUTO

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