05D0544584 CLIA NUMBER - KIUMARS BAKSHANDEH MD

Laboratory Demographics

  • CLIA Code: 05D0544584
  • Facility Name: KIUMARS BAKSHANDEH MD
  • Facility Address: 9730 WILSHIRE BLVD SUITE 115
    BEVERLY HILLS, CA
    ZIP 90212
  • Facility Phone: 310 274-6139
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KIUMARS BAKSHANDEH
  • NPI Number: 1700945144
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0544584
LAB Type Physician Office
Facility Name KIUMARS BAKSHANDEH MD
Street 9730 WILSHIRE BLVD SUITE 115
City BEVERLY HILLS
State CA
ZIP 90212
Phone 310 274-6139
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director KIUMARS BAKSHANDEH

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