05D1082131 CLIA NUMBER - DURGA MADALA, MD, FACC

Laboratory Demographics

  • CLIA Code: 05D1082131
  • Facility Name: DURGA MADALA, MD, FACC
  • Facility Address: 2516 SAMARITAN DRIVE, SUITE A
    SAN JOSE, CA
    ZIP 95124
  • Facility Phone: 408 356-4242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DURGA MADALA, MD FACC
  • NPI Number: 1184650772
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1082131
LAB Type Physician Office
Facility Name DURGA MADALA, MD, FACC
Street 2516 SAMARITAN DRIVE, SUITE A
City SAN JOSE
State CA
ZIP 95124
Phone 408 356-4242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Physician Office
Lab Director DURGA MADALA, MD FACC

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