05D2014936 CLIA NUMBER - DAN E DARDASHTI, MD

Laboratory Demographics

  • CLIA Code: 05D2014936
  • Facility Name: DAN E DARDASHTI, MD
  • Facility Address: 12626 RIVERSIDE DR STE 411
    VALLEY VILLAGE, CA
    ZIP 91607
  • Facility Phone: 818 508-9190
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DAN E. DARDASHTI MD
  • NPI Number: 1275537524
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2014936
LAB Type Community Clinic
Facility Name DAN E DARDASHTI, MD
Street 12626 RIVERSIDE DR STE 411
City VALLEY VILLAGE
State CA
ZIP 91607
Phone 818 508-9190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Community Clinic
Lab Director DAN E. DARDASHTI MD

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