05D1003202 CLIA NUMBER - RABIN KHETRAPAL MD

Laboratory Demographics

  • CLIA Code: 05D1003202
  • Facility Name: RABIN KHETRAPAL MD
  • Facility Address: 734 MOWRY AVE
    FREMONT, CA
    ZIP 94536
  • Facility Phone: 510 742-6274
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RABIN KHETRAPAL MD
  • NPI Number: 1629180310
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1003202
LAB Type Physician Office
Facility Name RABIN KHETRAPAL MD
Street 734 MOWRY AVE
City FREMONT
State CA
ZIP 94536
Phone 510 742-6274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Physician Office
Lab Director RABIN KHETRAPAL 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