05D0993243 CLIA NUMBER - PERRY B SHELDAYI DO PROF CORP

Laboratory Demographics

  • CLIA Code: 05D0993243
  • Facility Name: PERRY B SHELDAYI DO PROF CORP
  • Facility Address: 18 ENDEAVOR STE 201
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 949 650-5771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PERRY B. SHEIDAYI DO
  • NPI Number: 1508823519
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0993243
LAB Type Physician Office
Facility Name PERRY B SHELDAYI DO PROF CORP
Street 18 ENDEAVOR STE 201
City IRVINE
State CA
ZIP 92618
Phone 949 650-5771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director PERRY B. SHEIDAYI DO

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