05D1043920 CLIA NUMBER - ALI R TAJIK

Laboratory Demographics

  • CLIA Code: 05D1043920
  • Facility Name: ALI R TAJIK
  • Facility Address: 3400 W BALL RD - #207
    ANAHEIM, CA
    ZIP 92804
  • Facility Phone: 714 821-8519
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI R. TAJIK
  • NPI Number: 1528285848
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1043920
LAB Type Physician Office
Facility Name ALI R TAJIK
Street 3400 W BALL RD - #207
City ANAHEIM
State CA
ZIP 92804
Phone 714 821-8519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Physician Office
Lab Director ALI R. TAJIK

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