05D2149113 CLIA NUMBER - JAVIDAN UROLOGY INC

Laboratory Demographics

  • CLIA Code: 05D2149113
  • Facility Name: JAVIDAN UROLOGY INC
  • Facility Address: 6600 COYLE AVE STE 1
    CARMICHAEL, CA
    ZIP 95608
  • Facility Phone: 916 245-2444
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JAVID JAVIDAN-NEJAD
  • NPI Number: 1174043129
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2149113
LAB Type Community Clinic
Facility Name JAVIDAN UROLOGY INC
Street 6600 COYLE AVE STE 1
City CARMICHAEL
State CA
ZIP 95608
Phone 916 245-2444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Community Clinic
Lab Director JAVID JAVIDAN-NEJAD

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