05D2072927 CLIA NUMBER - AZAM SHAMANI MD

Laboratory Demographics

  • CLIA Code: 05D2072927
  • Facility Name: AZAM SHAMANI MD
  • Facility Address: 5555 RESERVOIR DR STE 312
    SAN DIEGO, CA
    ZIP 92120
  • Facility Phone: 619 639-7285
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AZAM SHAMANI MD
  • NPI Number: 1699906032
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2072927
LAB Type Physician Office
Facility Name AZAM SHAMANI MD
Street 5555 RESERVOIR DR STE 312
City SAN DIEGO
State CA
ZIP 92120
Phone 619 639-7285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director AZAM SHAMANI MD

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