CLIA lab

CLIA 05D2169594: Karthikeya Devireddy, MD, Inc

Los Banos, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2169594 belongs to Karthikeya Devireddy, MD, Inc in Los Banos, CA.

Certificate of Waiver, effective July 23, 2025, expires July 22, 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
July 23, 2025
Certificate expiration
July 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 23, 2019
Facility type
Rural health clinic
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
05D2169594
Lab name
Karthikeya Devireddy, MD, Inc
Address
311 West I Street, Los Banos, CA 93635
Phone
(209) 826-2222
Fax
(209) 826-6554

Annual test volume the lab reported

Waived tests
60,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Los Banos, CA

Related

Questions

What is the CLIA number for Karthikeya Devireddy, MD, Inc in Los Banos?

05D2169594, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Karthikeya Devireddy, MD, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2169594 expire?

The CMS file lists July 22, 2027 as the certificate expiration date; the certificate took effect July 23, 2025.

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