05D1029265 CLIA NUMBER - REKHA UDUPA, MD, INC

Laboratory Demographics

  • CLIA Code: 05D1029265
  • Facility Name: REKHA UDUPA, MD, INC
  • Facility Address: 1299 WATER LILY WAY UNIT 90
    SAN JOSE, CA
    ZIP 95129
  • Facility Phone: 408 252-1090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REKHA S. UDUPA MD
  • NPI Number: 1225122120
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1029265
LAB Type Physician Office
Facility Name REKHA UDUPA, MD, INC
Street 1299 WATER LILY WAY UNIT 90
City SAN JOSE
State CA
ZIP 95129
Phone 408 252-1090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director REKHA S. UDUPA MD

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