05D1096676 CLIA NUMBER - AMIR G NASSERI, MD

Laboratory Demographics

  • CLIA Code: 05D1096676
  • Facility Name: AMIR G NASSERI, MD
  • Facility Address: 1155 WEST CENTRAL AVENUE #214
    SANTA ANA, CA
    ZIP 92707
  • Facility Phone: 714 966-9094
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMIR G. NASSERI, MD
  • NPI Number: 1063490712
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1096676
LAB Type Physician Office
Facility Name AMIR G NASSERI, MD
Street 1155 WEST CENTRAL AVENUE #214
City SANTA ANA
State CA
ZIP 92707
Phone 714 966-9094
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 AMIR G. NASSERI, MD

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