05D1018717 CLIA NUMBER - DARIUSH LAVI MD INC

Laboratory Demographics

  • CLIA Code: 05D1018717
  • Facility Name: DARIUSH LAVI MD INC
  • Facility Address: 1503 SOUTH COAST DRIVE SUITE 109
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 714 585-1842
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DARIUSH LAVI MD
  • NPI Number: 1750449062
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1018717
LAB Type Physician Office
Facility Name DARIUSH LAVI MD INC
Street 1503 SOUTH COAST DRIVE SUITE 109
City COSTA MESA
State CA
ZIP 92626
Phone 714 585-1842
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director DARIUSH LAVI MD

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This page was last updated on: 6/4/2025