05D1063557 CLIA NUMBER - REZA NAZEMI MD

Laboratory Demographics

  • CLIA Code: 05D1063557
  • Facility Name: REZA NAZEMI MD
  • Facility Address: 350 S BEVERLY DR STE 240
    BEVERLY HILLS, CA
    ZIP 90212
  • Facility Phone: 310 652-0228
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REZA NAZEMI MD
  • NPI Number: 1114943933
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1063557
LAB Type Physician Office
Facility Name REZA NAZEMI MD
Street 350 S BEVERLY DR STE 240
City BEVERLY HILLS
State CA
ZIP 90212
Phone 310 652-0228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director REZA NAZEMI MD

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