05D0701241 CLIA NUMBER - TARANEH RAZAVI MD

Laboratory Demographics

  • CLIA Code: 05D0701241
  • Facility Name: TARANEH RAZAVI MD
  • Facility Address: 211 QUARRY RD STE 203 MC 5993
    PALO ALTO, CA
    ZIP 94304
  • Facility Phone: 650 325-6778
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARANEH H. RAZAVI
  • NPI Number: 1669550968
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0701241
LAB Type Physician Office
Facility Name TARANEH RAZAVI MD
Street 211 QUARRY RD STE 203 MC 5993
City PALO ALTO
State CA
ZIP 94304
Phone 650 325-6778
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 TARANEH H. RAZAVI

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