05D2251801 CLIA NUMBER - MAHESH SHETTY MD A DIVISION OF BASS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2251801
  • Facility Name: MAHESH SHETTY MD A DIVISION OF BASS MEDICAL GROUP
  • Facility Address: 1208 E ARQUES AVE SUITE 113
    SUNNYVALE, CA
    ZIP 94085
  • Facility Phone: 408 730-8082
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHESH SHETTY
  • NPI Number: 1295954121
  • Taxonomy: 207RS0012X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2251801
LAB Type Physician Office
Facility Name MAHESH SHETTY MD A DIVISION OF BASS MEDICAL GROUP
Street 1208 E ARQUES AVE SUITE 113
City SUNNYVALE
State CA
ZIP 94085
Phone 408 730-8082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director MAHESH SHETTY

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