45D2314244 CLIA NUMBER - MINERVA LABS LLC

Laboratory Demographics

  • CLIA Code: 45D2314244
  • Facility Name: MINERVA LABS LLC
  • Facility Address: 1203 S WHITE CHAPEL SUITE 150
    SOUTHLAKE, TX
    ZIP 76092
  • Facility Phone: 817 333-9898
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: SHAIJU K. VAREED
  • NPI Number: 1053112938
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2314244
LAB Type Independent
Facility Name MINERVA LABS LLC
Street 1203 S WHITE CHAPEL SUITE 150
City SOUTHLAKE
State TX
ZIP 76092
Phone 817 333-9898
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Independent
Lab Director SHAIJU K. VAREED

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