05D0998468 CLIA NUMBER - KAMRAN GHADIMI MD

Laboratory Demographics

  • CLIA Code: 05D0998468
  • Facility Name: KAMRAN GHADIMI MD
  • Facility Address: 1412 W 7TH STREET
    SAN PEDRO, CA
    ZIP 90732
  • Facility Phone: 310 548-5481
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KAMRAN GHADIMI MD
  • NPI Number: 1174615629
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 05D0998468
LAB Type Hospice
Facility Name KAMRAN GHADIMI MD
Street 1412 W 7TH STREET
City SAN PEDRO
State CA
ZIP 90732
Phone 310 548-5481
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Hospice
Lab Director KAMRAN GHADIMI MD

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