05D2219088 CLIA NUMBER - TAHER SAIFULLAH MD, A PROFESSIONAL MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2219088
  • Facility Name: TAHER SAIFULLAH MD, A PROFESSIONAL MEDICAL CORPORATION
  • Facility Address: 625 S FAIR OAKS AVE STE #230
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 469-2939
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAHER SAIFULLAH, MD
  • NPI Number: 1871939587
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2219088
LAB Type Physician Office
Facility Name TAHER SAIFULLAH MD, A PROFESSIONAL MEDICAL CORPORATION
Street 625 S FAIR OAKS AVE STE #230
City PASADENA
State CA
ZIP 91105
Phone 626 469-2939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director TAHER SAIFULLAH, MD

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