05D2315897 CLIA NUMBER - GURPREET K PADAM MD PC, DBA HOME BASED MEDICINE

Laboratory Demographics

  • CLIA Code: 05D2315897
  • Facility Name: GURPREET K PADAM MD PC, DBA HOME BASED MEDICINE
  • Facility Address: 101 S SAN MATEO DRIVE, SUITE 102
    SAN MATEO, CA
    ZIP 94401
  • Facility Phone: 650 360-9309
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GURPREET K. PADAM
  • NPI Number: 1104674407
  • Taxonomy: 207QH0002X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2315897
LAB Type Practitioner Other
Facility Name GURPREET K PADAM MD PC, DBA HOME BASED MEDICINE
Street 101 S SAN MATEO DRIVE, SUITE 102
City SAN MATEO
State CA
ZIP 94401
Phone 650 360-9309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Practitioner Other
Lab Director GURPREET K. PADAM

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