05D0917625 CLIA NUMBER - TOURADJ FARADI MD

Laboratory Demographics

  • CLIA Code: 05D0917625
  • Facility Name: TOURADJ FARADI MD
  • Facility Address: 2630 PACIFIC AVE
    LONG BEACH, CA
    ZIP 90806
  • Facility Phone: 562 426-3399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TOURADJ FARHADI
  • NPI Number: 1356567937
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0917625
LAB Type Physician Office
Facility Name TOURADJ FARADI MD
Street 2630 PACIFIC AVE
City LONG BEACH
State CA
ZIP 90806
Phone 562 426-3399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Physician Office
Lab Director TOURADJ FARHADI

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