05D2061696 CLIA NUMBER - KAT MOTLAGH'S HEALTH CLINICS

Laboratory Demographics

  • CLIA Code: 05D2061696
  • Facility Name: KAT MOTLAGH'S HEALTH CLINICS
  • Facility Address: 16250 VENTURA BLVD STE 225
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 382-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATAYOUN Y. MOTLAGH
  • NPI Number: 1346583374
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2061696
LAB Type Physician Office
Facility Name KAT MOTLAGH'S HEALTH CLINICS
Street 16250 VENTURA BLVD STE 225
City ENCINO
State CA
ZIP 91436
Phone 818 382-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Physician Office
Lab Director KATAYOUN Y. MOTLAGH

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