05D0915704 CLIA NUMBER - JAMSHID SHAFAI MD

Laboratory Demographics

  • CLIA Code: 05D0915704
  • Facility Name: JAMSHID SHAFAI MD
  • Facility Address: 7601 ATLANTIC AVENUE
    CUDAHY, CA
    ZIP 90201
  • Facility Phone: 213 562-3500
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JAMSHID SHAFAI
  • NPI Number: 1366557241
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0915704
LAB Type Community Clinic
Facility Name JAMSHID SHAFAI MD
Street 7601 ATLANTIC AVENUE
City CUDAHY
State CA
ZIP 90201
Phone 213 562-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Community Clinic
Lab Director JAMSHID SHAFAI

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