05D0980470 CLIA NUMBER - FREMONT OBGYN

Laboratory Demographics

  • CLIA Code: 05D0980470
  • Facility Name: FREMONT OBGYN
  • Facility Address: 3885 BEACON AVE STE A
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 510 796-7104
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PADMAJA SHARMA
  • NPI Number: 1295008829
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0980470
LAB Type Physician Office
Facility Name FREMONT OBGYN
Street 3885 BEACON AVE STE A
City FREMONT
State CA
ZIP 94538
Phone 510 796-7104
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 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director PADMAJA SHARMA

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