05D2269479 CLIA NUMBER - FARRIDAH SHAFIEE, D.O., INC

Laboratory Demographics

  • CLIA Code: 05D2269479
  • Facility Name: FARRIDAH SHAFIEE, D.O., INC
  • Facility Address: 135 MACAW LANE SUITE 210
    SIMI VALLEY, CA
    ZIP 93065
  • Facility Phone: 805 210-2424
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARRIDAH SHAFIEE
  • NPI Number: 1538199765
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2269479
LAB Type Physician Office
Facility Name FARRIDAH SHAFIEE, D.O., INC
Street 135 MACAW LANE SUITE 210
City SIMI VALLEY
State CA
ZIP 93065
Phone 805 210-2424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director FARRIDAH SHAFIEE

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