05D1042643 CLIA NUMBER - KHOSROW MEHRANY MD, INC

Laboratory Demographics

  • CLIA Code: 05D1042643
  • Facility Name: KHOSROW MEHRANY MD, INC
  • Facility Address: 1729 TULLY RD, STE 9
    MODESTO, CA
    ZIP 95350
  • Facility Phone: 209 338-7758
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KHOSROW MEHRANY
  • NPI Number: 1235123142
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D1042643
LAB Type Physician Office
Facility Name KHOSROW MEHRANY MD, INC
Street 1729 TULLY RD, STE 9
City MODESTO
State CA
ZIP 95350
Phone 209 338-7758
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director KHOSROW MEHRANY

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