05D0907137 CLIA NUMBER - KAVEH BAGHERI, MD

Laboratory Demographics

  • CLIA Code: 05D0907137
  • Facility Name: KAVEH BAGHERI, MD
  • Facility Address: 8860 CENTER DR STE 240
    LA MESA, CA
    ZIP 91942
  • Facility Phone: 619 589-2535
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAVEH BAGHERI MD
  • NPI Number: 1174542252
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0907137
LAB Type Physician Office
Facility Name KAVEH BAGHERI, MD
Street 8860 CENTER DR STE 240
City LA MESA
State CA
ZIP 91942
Phone 619 589-2535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Physician Office
Lab Director KAVEH BAGHERI MD

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