05D0714551 CLIA NUMBER - RAO V B SUNKAVALLY MD

Laboratory Demographics

  • CLIA Code: 05D0714551
  • Facility Name: RAO V B SUNKAVALLY MD
  • Facility Address: 1999 MOWRY AVE 2D
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 510 790-9025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAO V. SUNKAVALLY MD
  • NPI Number: 1760652184
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D0714551
LAB Type Physician Office
Facility Name RAO V B SUNKAVALLY MD
Street 1999 MOWRY AVE 2D
City FREMONT
State CA
ZIP 94538
Phone 510 790-9025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director RAO V. SUNKAVALLY MD

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