05D2254361 CLIA NUMBER - NAVIN MALLAVARAM MD INC

Laboratory Demographics

  • CLIA Code: 05D2254361
  • Facility Name: NAVIN MALLAVARAM MD INC
  • Facility Address: 7031 KOLL CENTER PKWY, STE 100
    PLEASANTON, CA
    ZIP 94566
  • Facility Phone: 925 469-9120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAVIN MALLAVARAM
  • NPI Number: 1962677724
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2254361
LAB Type Physician Office
Facility Name NAVIN MALLAVARAM MD INC
Street 7031 KOLL CENTER PKWY, STE 100
City PLEASANTON
State CA
ZIP 94566
Phone 925 469-9120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Physician Office
Lab Director NAVIN MALLAVARAM

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