05D2192528 CLIA NUMBER - SUNEETHA MADDINENI

Laboratory Demographics

  • CLIA Code: 05D2192528
  • Facility Name: SUNEETHA MADDINENI
  • Facility Address: 2500 HOSPITAL DRIVE BLDG 11E
    MOUNTAIN VIEW, CA
    ZIP 94040
  • Facility Phone: 650 625-0800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNEETHA MADDINENI
  • NPI Number: 1962774679
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2192528
LAB Type Physician Office
Facility Name SUNEETHA MADDINENI
Street 2500 HOSPITAL DRIVE BLDG 11E
City MOUNTAIN VIEW
State CA
ZIP 94040
Phone 650 625-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director SUNEETHA MADDINENI

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