05D1047958 CLIA NUMBER - BINDUSAGAR REDDY, MD

Laboratory Demographics

  • CLIA Code: 05D1047958
  • Facility Name: BINDUSAGAR REDDY, MD
  • Facility Address: 579 W PUTNAM AVE
    PORTERVILLE, CA
    ZIP 93257
  • Facility Phone: 559 782-8585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BINDUSAGAR REDDY, MD
  • NPI Number: 1407886799
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1047958
LAB Type Physician Office
Facility Name BINDUSAGAR REDDY, MD
Street 579 W PUTNAM AVE
City PORTERVILLE
State CA
ZIP 93257
Phone 559 782-8585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Physician Office
Lab Director BINDUSAGAR REDDY, MD

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