CLIA lab

CLIA 26D2105012: S D Madduri MD

Poplar Bluff, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 26D2105012 belongs to S D Madduri MD in Poplar Bluff, MO.

Certificate of Waiver, effective November 17, 2025, expires November 16, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
November 17, 2025
Certificate expiration
November 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 17, 2015
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
26D2105012
Lab name
S D Madduri MD
Address
2400 Lucy Lee Parkway Suite F, Poplar Bluff, MO 63901
Phone
(573) 686-4133
Fax
(573) 778-1099

Annual test volume the lab reported

Waived tests
1,800

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for S D Madduri MD in Poplar Bluff?

26D2105012, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does S D Madduri MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 26D2105012 expire?

The CMS file lists November 16, 2027 as the certificate expiration date; the certificate took effect November 17, 2025.

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