05D1001519 CLIA NUMBER - MASOUD M AZIZAD MD

Laboratory Demographics

  • CLIA Code: 05D1001519
  • Facility Name: MASOUD M AZIZAD MD
  • Facility Address: 18433 ROSCOE BLVD SUITE 208
    NORTHRIDGE, CA
    ZIP 91325
  • Facility Phone: 818 341-4401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MASOUD M. AZIZAD MD
  • NPI Number: 1033174826
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1001519
LAB Type Physician Office
Facility Name MASOUD M AZIZAD MD
Street 18433 ROSCOE BLVD SUITE 208
City NORTHRIDGE
State CA
ZIP 91325
Phone 818 341-4401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director MASOUD M. AZIZAD MD

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