05D0926048 CLIA NUMBER - DR INDIRA VEMURI PC

Laboratory Demographics

CLIA Number: 05D0926048

Facility Name: DR INDIRA VEMURI PC

Facility Address:
15585 MONTEREY RD, STE A
MORGAN HILL, CA
ZIP 95037
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Facility Phone Number: 408 776-9560

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619123379

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0926048
LAB Type	Physician Office
Facility Name	DR INDIRA VEMURI PC
Street	15585 MONTEREY RD, STE A
City	MORGAN HILL
State	CA
ZIP	95037
Phone	408 776-9560
CertificateType	4
CertificateEffectiveDate	3/13/2023
CertificateExpirationDate	3/12/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024