05D1002248 CLIA NUMBER - MEHDI AMINI MOGHADAM

Laboratory Demographics

  • CLIA Code: 05D1002248
  • Facility Name: MEHDI AMINI MOGHADAM
  • Facility Address: 7232 VAN NUYS BLVD SUITE 201
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 373-4999
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MEHDI A. MOGHADAM MD
  • NPI Number: 1417695230
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1002248
LAB Type Community Clinic
Facility Name MEHDI AMINI MOGHADAM
Street 7232 VAN NUYS BLVD SUITE 201
City VAN NUYS
State CA
ZIP 91405
Phone 818 373-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Community Clinic
Lab Director MEHDI A. MOGHADAM MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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