05D0700622 CLIA NUMBER - IRADJ NAZARIAN, MD INC MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D0700622
  • Facility Name: IRADJ NAZARIAN, MD INC MEDICAL CLINIC
  • Facility Address: 7136 PACIFIC BLVD, STE 225
    HUNTINGTON PARK, CA
    ZIP 90255
  • Facility Phone: 323 249-4949
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRADJ H. NAZARIAN, MD
  • NPI Number: 1083753321
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0700622
LAB Type Physician Office
Facility Name IRADJ NAZARIAN, MD INC MEDICAL CLINIC
Street 7136 PACIFIC BLVD, STE 225
City HUNTINGTON PARK
State CA
ZIP 90255
Phone 323 249-4949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Physician Office
Lab Director IRADJ H. NAZARIAN, MD

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