05D0607178 CLIA NUMBER - SURESH R NAYAK MD, INC

Laboratory Demographics

  • CLIA Code: 05D0607178
  • Facility Name: SURESH R NAYAK MD, INC
  • Facility Address: 200 JOSE FIGUERES AVE #305
    SAN JOSE, CA
    ZIP 95116
  • Facility Phone: 408 279-3692
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SURESH R. NAYAK
  • NPI Number: 1871554147
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0607178
LAB Type Physician Office
Facility Name SURESH R NAYAK MD, INC
Street 200 JOSE FIGUERES AVE #305
City SAN JOSE
State CA
ZIP 95116
Phone 408 279-3692
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Physician Office
Lab Director SURESH R. NAYAK

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