05D0926858 CLIA NUMBER - BAHMAN LALEZARI MD

Laboratory Demographics

  • CLIA Code: 05D0926858
  • Facility Name: BAHMAN LALEZARI MD
  • Facility Address: 4972 W PICO BLVD STE 201
    LOS ANGELES, CA
    ZIP 90019
  • Facility Phone: 323 939-5346
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAHMAN LALEZARI
  • NPI Number: 1891802013
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0926858
LAB Type Physician Office
Facility Name BAHMAN LALEZARI MD
Street 4972 W PICO BLVD STE 201
City LOS ANGELES
State CA
ZIP 90019
Phone 323 939-5346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director BAHMAN LALEZARI

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