05D0970707 CLIA NUMBER - RAGHUNATH K REDDY MD

Laboratory Demographics

  • CLIA Code: 05D0970707
  • Facility Name: RAGHUNATH K REDDY MD
  • Facility Address: 1805 W CALIFORNIA ST #102
    STOCKTON, CA
    ZIP 95204
  • Facility Phone: 209 946-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAGHUNATH K. REDDY MD
  • NPI Number: 1689775819
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0970707
LAB Type Physician Office
Facility Name RAGHUNATH K REDDY MD
Street 1805 W CALIFORNIA ST #102
City STOCKTON
State CA
ZIP 95204
Phone 209 946-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director RAGHUNATH K. REDDY MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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