05D2136753 CLIA NUMBER - SHAIDA BEHNAM MD INC

Laboratory Demographics

  • CLIA Code: 05D2136753
  • Facility Name: SHAIDA BEHNAM MD INC
  • Facility Address: 1010 CASS ST STE D3
    MONTEREY, CA
    ZIP 93940
  • Facility Phone: 831 901-3691
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAIDA BEHNAM, MD
  • NPI Number: 1114016169
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2136753
LAB Type Physician Office
Facility Name SHAIDA BEHNAM MD INC
Street 1010 CASS ST STE D3
City MONTEREY
State CA
ZIP 93940
Phone 831 901-3691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Physician Office
Lab Director SHAIDA BEHNAM, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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