05D0869436 CLIA NUMBER - DANIEL GHIYAM, MD INC DBA SIMI DOCTORS MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D0869436
  • Facility Name: DANIEL GHIYAM, MD INC DBA SIMI DOCTORS MEDICAL CLINIC
  • Facility Address: 2840 EAST LOS ANGELES AVENUE
    SIMI VALLEY, CA
    ZIP 93065
  • Facility Phone: 805 526-8360
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL GHIYAM MD
  • NPI Number: 1750378188
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0869436
LAB Type Physician Office
Facility Name DANIEL GHIYAM, MD INC DBA SIMI DOCTORS MEDICAL CLINIC
Street 2840 EAST LOS ANGELES AVENUE
City SIMI VALLEY
State CA
ZIP 93065
Phone 805 526-8360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director DANIEL GHIYAM MD

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