05D2186598 CLIA NUMBER - SHADI YAGHOUBIAN MD

Laboratory Demographics

  • CLIA Code: 05D2186598
  • Facility Name: SHADI YAGHOUBIAN MD
  • Facility Address: 8635 WEST 3RD ST STE 1050W
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 310 402-0548
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHADI YAGHOUBIAN
  • NPI Number: 1477811891
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2186598
LAB Type Physician Office
Facility Name SHADI YAGHOUBIAN MD
Street 8635 WEST 3RD ST STE 1050W
City LOS ANGELES
State CA
ZIP 90048
Phone 310 402-0548
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director SHADI YAGHOUBIAN

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