05D0552217 CLIA NUMBER - SHAHEEN IQBAL MD

Laboratory Demographics

  • CLIA Code: 05D0552217
  • Facility Name: SHAHEEN IQBAL MD
  • Facility Address: 609 W BEVERLY BLVD
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 728-6945
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHEEN IQBAL
  • NPI Number: 1023384864
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0552217
LAB Type Physician Office
Facility Name SHAHEEN IQBAL MD
Street 609 W BEVERLY BLVD
City MONTEBELLO
State CA
ZIP 90640
Phone 323 728-6945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SHAHEEN IQBAL

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