05D2274267 CLIA NUMBER - PANTEA SHARIF HANNAUER MD INC

Laboratory Demographics

  • CLIA Code: 05D2274267
  • Facility Name: PANTEA SHARIF HANNAUER MD INC
  • Facility Address: 3524 TORRANCE BLVD SUITE 104
    TORRANCE, CA
    ZIP 90503
  • Facility Phone: 310 540-1630
  • Facility Type: Other - PEDIATRIC NEUROLOGIST
  • Facility Type: Waiver
  • Lab Director: SHARIFI H. PANTEA
  • NPI Number: 1205851599
  • Taxonomy: 2084N0402X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2274267
LAB Type Other - PEDIATRIC NEUROLOGIST
Facility Name PANTEA SHARIF HANNAUER MD INC
Street 3524 TORRANCE BLVD SUITE 104
City TORRANCE
State CA
ZIP 90503
Phone 310 540-1630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Other - PEDIATRIC NEUROLOGIST
Lab Director SHARIFI H. PANTEA

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