05D2156485 CLIA NUMBER - FARIED BANIMAHD MD INC

Laboratory Demographics

  • CLIA Code: 05D2156485
  • Facility Name: FARIED BANIMAHD MD INC
  • Facility Address: 1533 E 4TH STREET
    SANTA ANA, CA
    ZIP 92701
  • Facility Phone: 949 347-8721
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARIED BANIMAHD
  • NPI Number: 1184860496
  • Taxonomy: 207RA0401X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2156485
LAB Type Physician Office
Facility Name FARIED BANIMAHD MD INC
Street 1533 E 4TH STREET
City SANTA ANA
State CA
ZIP 92701
Phone 949 347-8721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director FARIED BANIMAHD

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: 6/4/2025