05D2038113 CLIA NUMBER - MANISH UPADHYAY, MD INC

Laboratory Demographics

  • CLIA Code: 05D2038113
  • Facility Name: MANISH UPADHYAY, MD INC
  • Facility Address: 508 GIBSON DR STE 270
    ROSEVILLE, CA
    ZIP 95678
  • Facility Phone: 916 786-6727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANISH R. UPADHYAY
  • NPI Number: 1104186691
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2038113
LAB Type Physician Office
Facility Name MANISH UPADHYAY, MD INC
Street 508 GIBSON DR STE 270
City ROSEVILLE
State CA
ZIP 95678
Phone 916 786-6727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Physician Office
Lab Director MANISH R. UPADHYAY

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