05D0724812 CLIA NUMBER - FERESHTEH JAHANPANAH, MD

Laboratory Demographics

  • CLIA Code: 05D0724812
  • Facility Name: FERESHTEH JAHANPANAH, MD
  • Facility Address: 343 E MAIN ST STE 101
    EL CAJON, CA
    ZIP 92020
  • Facility Phone: 619 447-6001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FERESHTEH A. JAHANPANAH, MD
  • NPI Number: 1518034115
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0724812
LAB Type Physician Office
Facility Name FERESHTEH JAHANPANAH, MD
Street 343 E MAIN ST STE 101
City EL CAJON
State CA
ZIP 92020
Phone 619 447-6001
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 FERESHTEH A. JAHANPANAH, MD

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