05D2274063 CLIA NUMBER - CALABASAS IMAGING & INTERVENTIONAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2274063
  • Facility Name: CALABASAS IMAGING & INTERVENTIONAL CENTER
  • Facility Address: 26585 AGOURA RD SUITE 210
    CALABASAS, CA
    ZIP 91302
  • Facility Phone: 818 878-0028
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: OMAR SAHAGUN
  • NPI Number: 1982806311
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D2274063
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CALABASAS IMAGING & INTERVENTIONAL CENTER
Street 26585 AGOURA RD SUITE 210
City CALABASAS
State CA
ZIP 91302
Phone 818 878-0028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director OMAR SAHAGUN

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