05D0558418 CLIA NUMBER - KAMRAN K KAMRAVA MD

Laboratory Demographics

  • CLIA Code: 05D0558418
  • Facility Name: KAMRAN K KAMRAVA MD
  • Facility Address: 6915 RESEDA BLVD SUTIE 1
    RESEDA, CA
    ZIP 91335
  • Facility Phone: 818 343-2121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMRAN KAMRAVA
  • NPI Number: 1053483800
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0558418
LAB Type Physician Office
Facility Name KAMRAN K KAMRAVA MD
Street 6915 RESEDA BLVD SUTIE 1
City RESEDA
State CA
ZIP 91335
Phone 818 343-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Physician Office
Lab Director KAMRAN KAMRAVA

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