05D2215422 CLIA NUMBER - PRAVEEN BUDDIGA MD INC DBA FAMILY ALLERGY ASTHMA CLINIC

Laboratory Demographics

  • CLIA Code: 05D2215422
  • Facility Name: PRAVEEN BUDDIGA MD INC DBA FAMILY ALLERGY ASTHMA CLINIC
  • Facility Address: 7105 N CHESTNUT AVE SUITE 103
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 421-9009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRAVEEN BUDDIGA
  • NPI Number: 1598703480
  • Taxonomy: 207KA0200X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 05D2215422
LAB Type Physician Office
Facility Name PRAVEEN BUDDIGA MD INC DBA FAMILY ALLERGY ASTHMA CLINIC
Street 7105 N CHESTNUT AVE SUITE 103
City FRESNO
State CA
ZIP 93720
Phone 559 421-9009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director PRAVEEN BUDDIGA

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