05D0580096 CLIA NUMBER - GHAROON PANAHI MD

Laboratory Demographics

  • CLIA Code: 05D0580096
  • Facility Name: GHAROON PANAHI MD
  • Facility Address: 11180 WARNER AVENUE, SUITE #157
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 825-0891
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GHAROON PANAHI MD
  • NPI Number: 1912956053
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0580096
LAB Type Physician Office
Facility Name GHAROON PANAHI MD
Street 11180 WARNER AVENUE, SUITE #157
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 825-0891
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 GHAROON PANAHI MD

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