05D0704426 CLIA NUMBER - SID DANESH MD

Laboratory Demographics

  • CLIA Code: 05D0704426
  • Facility Name: SID DANESH MD
  • Facility Address: 316 E LAS TUNAS, STE 103
    SAN GABRIEL, CA
    ZIP 91776
  • Facility Phone: 626 287-9949
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SID DANESH
  • NPI Number: 1063447134
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0704426
LAB Type Physician Office
Facility Name SID DANESH MD
Street 316 E LAS TUNAS, STE 103
City SAN GABRIEL
State CA
ZIP 91776
Phone 626 287-9949
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/24/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director SID DANESH

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