05D2096395 CLIA NUMBER - MEHRAS AKHAVAN MD INC

Laboratory Demographics

  • CLIA Code: 05D2096395
  • Facility Name: MEHRAS AKHAVAN MD INC
  • Facility Address: 4940 VAN NUYS BLVD STE 105
    SHERMAN OAKS, CA
    ZIP 91403
  • Facility Phone: 818 990-9050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEHRAS AKHAVAN
  • NPI Number: 1497817332
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 05D2096395
LAB Type Physician Office
Facility Name MEHRAS AKHAVAN MD INC
Street 4940 VAN NUYS BLVD STE 105
City SHERMAN OAKS
State CA
ZIP 91403
Phone 818 990-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Physician Office
Lab Director MEHRAS AKHAVAN

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