05D2032193 CLIA NUMBER - PRITHVI SHANKAR, MD, INC.

Laboratory Demographics

  • CLIA Code: 05D2032193
  • Facility Name: PRITHVI SHANKAR, MD, INC.
  • Facility Address: 400 E ORANGEBURG STE 3
    MODESTO, CA
    ZIP 95350
  • Facility Phone: 209 578-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRITHVI SHANKAR
  • NPI Number: 1790772838
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2032193
LAB Type Physician Office
Facility Name PRITHVI SHANKAR, MD, INC.
Street 400 E ORANGEBURG STE 3
City MODESTO
State CA
ZIP 95350
Phone 209 578-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director PRITHVI SHANKAR

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