05D0940223 CLIA NUMBER - MICHAEL TAHERY MD, INC

Laboratory Demographics

  • CLIA Code: 05D0940223
  • Facility Name: MICHAEL TAHERY MD, INC
  • Facility Address: 503 N CENTRAL AVE, STE 200
    GLENDALE, CA
    ZIP 91203
  • Facility Phone: 818 207-7409
  • Facility Type: Practitioner Other
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL TAHERY MD
  • NPI Number: 1346249539
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0940223
LAB Type Practitioner Other
Facility Name MICHAEL TAHERY MD, INC
Street 503 N CENTRAL AVE, STE 200
City GLENDALE
State CA
ZIP 91203
Phone 818 207-7409
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/29/2023
Certificate Expiration Date 10/31/2025
Facility Type Practitioner Other
Lab Director MICHAEL TAHERY MD

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