05D1072806 CLIA NUMBER - YOUSEF MEHRABI, MD PEDIATRICIAN

Laboratory Demographics

  • CLIA Code: 05D1072806
  • Facility Name: YOUSEF MEHRABI, MD PEDIATRICIAN
  • Facility Address: 16030 VENTURA BLVD, STE 140
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 609-9997
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOUSEF MEHRABI
  • NPI Number: 1083693915
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1072806
LAB Type Physician Office
Facility Name YOUSEF MEHRABI, MD PEDIATRICIAN
Street 16030 VENTURA BLVD, STE 140
City ENCINO
State CA
ZIP 91436
Phone 818 609-9997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director YOUSEF MEHRABI

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