05D2014674 CLIA NUMBER - TARANEH MOSTAGHASI, MD INC

Laboratory Demographics

  • CLIA Code: 05D2014674
  • Facility Name: TARANEH MOSTAGHASI, MD INC
  • Facility Address: 3108 WILLOW PASS RD
    CONCORD, CA
    ZIP 94519
  • Facility Phone: 551 804-7891
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARANEH MOSTAGHASI
  • NPI Number: 1457671414
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2014674
LAB Type Physician Office
Facility Name TARANEH MOSTAGHASI, MD INC
Street 3108 WILLOW PASS RD
City CONCORD
State CA
ZIP 94519
Phone 551 804-7891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director TARANEH MOSTAGHASI

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