05D0947612 CLIA NUMBER - NABEEL MADANAT MD, INC

Laboratory Demographics

CLIA Number: 05D0947612

Facility Name: NABEEL MADANAT MD, INC

Facility Address:
1828 EL CAMINO REAL, STE 701
BURLINGAME, CA
ZIP 94010
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Facility Phone Number: 650 652-9022

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1508884438

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D0947612
LAB Type	Physician Office
Facility Name	NABEEL MADANAT MD, INC
Street	1828 EL CAMINO REAL, STE 701
City	BURLINGAME
State	CA
ZIP	94010
Phone	650 652-9022
CertificateType	4
CertificateEffectiveDate	12/20/2023
CertificateExpirationDate	12/19/2025
FacilityType	Waiver

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