45D2160745 CLIA NUMBER - SREEBHAVI PD DBA LONESTAR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2160745
  • Facility Name: SREEBHAVI PD DBA LONESTAR PEDIATRICS
  • Facility Address: 340 HAWKINS RUN ROAD SUITE 200
    MIDLOTHIAN, TX
    ZIP 76065
  • Facility Phone: 201 289-7621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIVEKANAND DASARI
  • NPI Number: 1972145258
  • Taxonomy: 227900000X - Respiratory Therapist, Registered

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2160745
LAB Type Physician Office
Facility Name SREEBHAVI PD DBA LONESTAR PEDIATRICS
Street 340 HAWKINS RUN ROAD SUITE 200
City MIDLOTHIAN
State TX
ZIP 76065
Phone 201 289-7621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director VIVEKANAND DASARI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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