05D0914392 CLIA NUMBER - SEPEHR KATIRAIE MD INC

Laboratory Demographics

  • CLIA Code: 05D0914392
  • Facility Name: SEPEHR KATIRAIE MD INC
  • Facility Address: 2638 E FLORENCE AVE
    HUNTINGTON PARK, CA
    ZIP 90255
  • Facility Phone: 323 588-3800
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: SEPEHR KATIRAIE MD
  • NPI Number: 1225084213
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0914392
LAB Type Community Clinic
Facility Name SEPEHR KATIRAIE MD INC
Street 2638 E FLORENCE AVE
City HUNTINGTON PARK
State CA
ZIP 90255
Phone 323 588-3800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Community Clinic
Lab Director SEPEHR KATIRAIE MD

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