05D2290297 CLIA NUMBER - GAUTAM PAREEK MD INC

Laboratory Demographics

  • CLIA Code: 05D2290297
  • Facility Name: GAUTAM PAREEK MD INC
  • Facility Address: 3755 BEACON AVE
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 510 896-3988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GAUTAM PAREEK
  • NPI Number: 1578274627
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2290297
LAB Type Physician Office
Facility Name GAUTAM PAREEK MD INC
Street 3755 BEACON AVE
City FREMONT
State CA
ZIP 94538
Phone 510 896-3988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2025
Certificate Expiration Date 9/21/2027
Facility Type Physician Office
Lab Director GAUTAM PAREEK

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