05D1099392 CLIA NUMBER - SHYAM BHASKAR, MD INC

Laboratory Demographics

  • CLIA Code: 05D1099392
  • Facility Name: SHYAM BHASKAR, MD INC
  • Facility Address: 231 W NOBLE AVE
    VISALIA, CA
    ZIP 93277
  • Facility Phone: 559 429-4377
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHYAM BHASKAR, MD
  • NPI Number: 1902204449
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1099392
LAB Type Physician Office
Facility Name SHYAM BHASKAR, MD INC
Street 231 W NOBLE AVE
City VISALIA
State CA
ZIP 93277
Phone 559 429-4377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director SHYAM BHASKAR, MD

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