05D2079526 CLIA NUMBER - BEHZAD SOUFERZADEH DO

Laboratory Demographics

  • CLIA Code: 05D2079526
  • Facility Name: BEHZAD SOUFERZADEH DO
  • Facility Address: 5000 VAN NUYS BLVD STE 201
    SHERMAN OAKS, CA
    ZIP 91403
  • Facility Phone: 818 572-1490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEHZAD SOUFERZADEH
  • NPI Number: 1245640671
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2079526
LAB Type Physician Office
Facility Name BEHZAD SOUFERZADEH DO
Street 5000 VAN NUYS BLVD STE 201
City SHERMAN OAKS
State CA
ZIP 91403
Phone 818 572-1490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director BEHZAD SOUFERZADEH

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