05D0919286 CLIA NUMBER - CYRUS DAMIRCHI MD

Laboratory Demographics

  • CLIA Code: 05D0919286
  • Facility Name: CYRUS DAMIRCHI MD
  • Facility Address: 355 E 21ST ST STE F
    SAN BERNARDINO, CA
    ZIP 92404
  • Facility Phone: 909 886-5251
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CYRUS DAMIRCHI
  • NPI Number: 1891883401
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0919286
LAB Type Physician Office
Facility Name CYRUS DAMIRCHI MD
Street 355 E 21ST ST STE F
City SAN BERNARDINO
State CA
ZIP 92404
Phone 909 886-5251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director CYRUS DAMIRCHI

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