45D2158785 CLIA NUMBER - CHANDANA KONDURU, PLLC

Laboratory Demographics

  • CLIA Code: 45D2158785
  • Facility Name: CHANDANA KONDURU, PLLC
  • Facility Address: 3602 MATLOCK RD SUITE 202
    ARLINGTON, TX
    ZIP 76015
  • Facility Phone: 682 302-0430
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANDANA KONDURU
  • NPI Number: 1407322449
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2158785
LAB Type Physician Office
Facility Name CHANDANA KONDURU, PLLC
Street 3602 MATLOCK RD SUITE 202
City ARLINGTON
State TX
ZIP 76015
Phone 682 302-0430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Physician Office
Lab Director CHANDANA KONDURU

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