05D0558708 CLIA NUMBER - STEVEN C SHOHAM MD

Laboratory Demographics

  • CLIA Code: 05D0558708
  • Facility Name: STEVEN C SHOHAM MD
  • Facility Address: 10605 BALBOA BLVD SUITE 307
    GRANADA HILLS, CA
    ZIP 91344
  • Facility Phone: 818 832-3322
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN C. SHOHAM
  • NPI Number: 1770505299
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0558708
LAB Type Physician Office
Facility Name STEVEN C SHOHAM MD
Street 10605 BALBOA BLVD SUITE 307
City GRANADA HILLS
State CA
ZIP 91344
Phone 818 832-3322
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 DR. STEVEN C. SHOHAM

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