05D2136285 CLIA NUMBER - KIAVASH NIKKHOU M.D.

Laboratory Demographics

  • CLIA Code: 05D2136285
  • Facility Name: KIAVASH NIKKHOU M.D.
  • Facility Address: 415 ROLLING OAKS DR STE 260
    THOUSAND OAKS, CA
    ZIP 91361
  • Facility Phone: 805 309-2555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIAVASH NIKKHOU MD
  • NPI Number: 1588198790
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D2136285
LAB Type Physician Office
Facility Name KIAVASH NIKKHOU M.D.
Street 415 ROLLING OAKS DR STE 260
City THOUSAND OAKS
State CA
ZIP 91361
Phone 805 309-2555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Physician Office
Lab Director KIAVASH NIKKHOU MD

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