05D1060696 CLIA NUMBER - ROYA RAKHSHANI, MD

Laboratory Demographics

  • CLIA Code: 05D1060696
  • Facility Name: ROYA RAKHSHANI, MD
  • Facility Address: 186 E 16TH ST STE A
    COSTA MESA, CA
    ZIP 92627
  • Facility Phone: 714 241-8814
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROYA RAKHSHANI, MD
  • NPI Number: 1962414003
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1060696
LAB Type Physician Office
Facility Name ROYA RAKHSHANI, MD
Street 186 E 16TH ST STE A
City COSTA MESA
State CA
ZIP 92627
Phone 714 241-8814
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director ROYA RAKHSHANI, MD

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