05D2065931 CLIA NUMBER - LAKSHMIDEVI V PUTTA MD INC

Laboratory Demographics

  • CLIA Code: 05D2065931
  • Facility Name: LAKSHMIDEVI V PUTTA MD INC
  • Facility Address: 2625 W ALAMEDA AVE STE 424
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 818 848-2351
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAKSHMIDEVI V. PUTTA
  • NPI Number: 1962435628
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2065931
LAB Type Physician Office
Facility Name LAKSHMIDEVI V PUTTA MD INC
Street 2625 W ALAMEDA AVE STE 424
City BURBANK
State CA
ZIP 91505
Phone 818 848-2351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Physician Office
Lab Director LAKSHMIDEVI V. PUTTA

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