CLIA lab
CLIA 45D2222702: Bodavula Pediatrics PLLC
Garland, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D2222702 belongs to Bodavula Pediatrics PLLC in Garland, TX.
Certificate of Waiver, effective April 30, 2025, expires April 29, 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
- April 30, 2025
- Certificate expiration
- April 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2021
- 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
- 45D2222702
- Lab name
- Bodavula Pediatrics PLLC
- Address
- 6448 Broadway Blvd, Garland, TX 75043
- Phone
- (972) 216-8500
- Fax
- (972) 216-8521
Annual test volume the lab reported
- Waived tests
- 600
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 Bodavula Pediatrics PLLC in Garland?
45D2222702, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bodavula Pediatrics PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D2222702 expire?
The CMS file lists April 29, 2027 as the certificate expiration date; the certificate took effect April 30, 2025.