05D1096651 CLIA NUMBER - PARISA POURZAND, MD INC

Laboratory Demographics

  • CLIA Code: 05D1096651
  • Facility Name: PARISA POURZAND, MD INC
  • Facility Address: 1141 BRAND BLVD STE 305
    GLENDALE, CA
    ZIP 91202
  • Facility Phone: 818 545-8322
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PARISA POURZAND, MD
  • NPI Number: 1679713689
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1096651
LAB Type Physician Office
Facility Name PARISA POURZAND, MD INC
Street 1141 BRAND BLVD STE 305
City GLENDALE
State CA
ZIP 91202
Phone 818 545-8322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director PARISA POURZAND, MD

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