CLIA lab
CLIA 05D2129298: Gopika Gangupantula Md,inc
Modesto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2129298 belongs to Gopika Gangupantula Md,inc in Modesto, CA.
Certificate of Waiver, effective April 18, 2025, expires April 17, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 18, 2025
- Certificate expiration
- April 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 18, 2017
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2129298
- Lab name
- Gopika Gangupantula Md,inc
- Address
- 1213 Coffee Rd Suite D, Modesto, CA 95355
- Phone
- (209) 497-4677
- Fax
- (209) 300-7172
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Gopika Gangupantula Md,inc in Modesto?
05D2129298, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gopika Gangupantula Md,inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2129298 expire?
The CMS file lists April 17, 2027 as the certificate expiration date; the certificate took effect April 18, 2025.