45D2135364 CLIA NUMBER - ARCHANA SRIVASTAVA, MD PA

Laboratory Demographics

  • CLIA Code: 45D2135364
  • Facility Name: ARCHANA SRIVASTAVA, MD PA
  • Facility Address: 4305 W WHEATLAND ROAD, SUITE 130
    DALLAS, TX
    ZIP 75237
  • Facility Phone: 972 296-0845
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARCHANA SRIVASTAVA
  • NPI Number: 1508304957
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2135364
LAB Type Physician Office
Facility Name ARCHANA SRIVASTAVA, MD PA
Street 4305 W WHEATLAND ROAD, SUITE 130
City DALLAS
State TX
ZIP 75237
Phone 972 296-0845
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director ARCHANA SRIVASTAVA

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