05D0962731 CLIA NUMBER - FARSHID MOOSSAZADEH MD

Laboratory Demographics

  • CLIA Code: 05D0962731
  • Facility Name: FARSHID MOOSSAZADEH MD
  • Facility Address: 11633 HAWTHORNE BLVD SUITE 300
    HAWTHORNE, CA
    ZIP 90250
  • Facility Phone: 310 355-1950
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FARSHID MOOSSAZADEH MD
  • NPI Number: 1134291032
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0962731
LAB Type Physician Office
Facility Name FARSHID MOOSSAZADEH MD
Street 11633 HAWTHORNE BLVD SUITE 300
City HAWTHORNE
State CA
ZIP 90250
Phone 310 355-1950
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Physician Office
Lab Director FARSHID MOOSSAZADEH MD

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