05D2089430 CLIA NUMBER - DR. ADITYA JAIN MD INC

Laboratory Demographics

  • CLIA Code: 05D2089430
  • Facility Name: DR. ADITYA JAIN MD INC
  • Facility Address: 1532 150TH AVE
    SAN LEANDRO, CA
    ZIP 94578
  • Facility Phone: 000 510-3516
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADITYA JAIN, MD
  • NPI Number: 1629405618
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2089430
LAB Type Physician Office
Facility Name DR. ADITYA JAIN MD INC
Street 1532 150TH AVE
City SAN LEANDRO
State CA
ZIP 94578
Phone 000 510-3516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Physician Office
Lab Director ADITYA JAIN, MD

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