05D2010776 CLIA NUMBER - TAJAV TOOMARI DO INC

Laboratory Demographics

  • CLIA Code: 05D2010776
  • Facility Name: TAJAV TOOMARI DO INC
  • Facility Address: 16661 VENTURA BLVD, STE 408
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 522-1818
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAJAV TOOMARI DO
  • NPI Number: 1801055132
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2010776
LAB Type Physician Office
Facility Name TAJAV TOOMARI DO INC
Street 16661 VENTURA BLVD, STE 408
City ENCINO
State CA
ZIP 91436
Phone 818 522-1818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Physician Office
Lab Director TAJAV TOOMARI DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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