05D2169594 CLIA NUMBER - KARTHIKEYA DEVIREDDY, MD, INC

Laboratory Demographics

  • CLIA Code: 05D2169594
  • Facility Name: KARTHIKEYA DEVIREDDY, MD, INC
  • Facility Address: 311 WEST I STREET
    LOS BANOS, CA
    ZIP 93635
  • Facility Phone: 209 826-2222
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KARTHIKEYA DEVIREDDY
  • NPI Number: 1780615542
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2169594
LAB Type Rural Health Clinic
Facility Name KARTHIKEYA DEVIREDDY, MD, INC
Street 311 WEST I STREET
City LOS BANOS
State CA
ZIP 93635
Phone 209 826-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Rural Health Clinic
Lab Director KARTHIKEYA DEVIREDDY

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