05D2025453 CLIA NUMBER - FARDA QURESHI MD INC

Laboratory Demographics

  • CLIA Code: 05D2025453
  • Facility Name: FARDA QURESHI MD INC
  • Facility Address: 2101 FOREST AVE STE 117
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 408 730-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARDA QURESHI
  • NPI Number: 1285601252
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2025453
LAB Type Physician Office
Facility Name FARDA QURESHI MD INC
Street 2101 FOREST AVE STE 117
City SAN JOSE
State CA
ZIP 95128
Phone 408 730-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director FARDA QURESHI

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