05D1107052 CLIA NUMBER - MARYAM RAHNEMUN MD INC

Laboratory Demographics

  • CLIA Code: 05D1107052
  • Facility Name: MARYAM RAHNEMUN MD INC
  • Facility Address: 14150 CULVER DR STE 105
    IRVINE, CA
    ZIP 92604
  • Facility Phone: 949 612-6050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARYAM RAHNEMUN
  • NPI Number: 1114921673
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1107052
LAB Type Physician Office
Facility Name MARYAM RAHNEMUN MD INC
Street 14150 CULVER DR STE 105
City IRVINE
State CA
ZIP 92604
Phone 949 612-6050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director MARYAM RAHNEMUN

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