05D1066053 CLIA NUMBER - DANIEL BEHROOZAN, MD

Laboratory Demographics

  • CLIA Code: 05D1066053
  • Facility Name: DANIEL BEHROOZAN, MD
  • Facility Address: 2221 LINCOLN BLVD, STE 100
    SANTA MONICA, CA
    ZIP 90405
  • Facility Phone: 310 392-1111
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DANIEL BEHROOZAN, MD
  • NPI Number: 1851325716
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D1066053
LAB Type Physician Office
Facility Name DANIEL BEHROOZAN, MD
Street 2221 LINCOLN BLVD, STE 100
City SANTA MONICA
State CA
ZIP 90405
Phone 310 392-1111
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 3/12/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DANIEL BEHROOZAN, MD

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