05D2289502 CLIA NUMBER - SHREYA KHATRI, MD, A DIVISION OF BASS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2289502
  • Facility Name: SHREYA KHATRI, MD, A DIVISION OF BASS MEDICAL GROUP
  • Facility Address: 6600 LONE TREE WAY
    BRENTWOOD, CA
    ZIP 94513
  • Facility Phone: 925 471-4223
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHREYA KHATRI
  • NPI Number: 1841753605
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2289502
LAB Type Physician Office
Facility Name SHREYA KHATRI, MD, A DIVISION OF BASS MEDICAL GROUP
Street 6600 LONE TREE WAY
City BRENTWOOD
State CA
ZIP 94513
Phone 925 471-4223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director SHREYA KHATRI

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