05D2144598 CLIA NUMBER - WESTERN PACIFIC MED CORP

Laboratory Demographics

  • CLIA Code: 05D2144598
  • Facility Name: WESTERN PACIFIC MED CORP
  • Facility Address: 9462 VAN NUYS BLVD
    PANORAMA CITY, CA
    ZIP 91402
  • Facility Phone: 818 891-8555
  • Facility Type: Other - OPIOID TRTMNT PROGRAM
  • Facility Type: Waiver
  • Lab Director: DARYOOSH A. SAMI, MD
  • NPI Number: 1881033777
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2144598
LAB Type Other - OPIOID TRTMNT PROGRAM
Facility Name WESTERN PACIFIC MED CORP
Street 9462 VAN NUYS BLVD
City PANORAMA CITY
State CA
ZIP 91402
Phone 818 891-8555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Other - OPIOID TRTMNT PROGRAM
Lab Director DARYOOSH A. SAMI, MD

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