05D2006398 CLIA NUMBER - AYAT AZADI- RAD MD

Laboratory Demographics

  • CLIA Code: 05D2006398
  • Facility Name: AYAT AZADI- RAD MD
  • Facility Address: 7232 VAN NUYS BLVD #201
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 373-4999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AYAT AZADI-RAD
  • NPI Number: 1154593929
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2006398
LAB Type Physician Office
Facility Name AYAT AZADI- RAD MD
Street 7232 VAN NUYS BLVD #201
City VAN NUYS
State CA
ZIP 91405
Phone 818 373-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director AYAT AZADI-RAD

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