05D2277357 CLIA NUMBER - SEDGHIZADEH DDS, INC

Laboratory Demographics

  • CLIA Code: 05D2277357
  • Facility Name: SEDGHIZADEH DDS, INC
  • Facility Address: 9201 SUNSET BLVD STE 903
    WEST HOLLYWOOD, CA
    ZIP 90069
  • Facility Phone: 424 444-7284
  • Facility Type: Practitioner Other
  • Facility Type: Accreditation
  • Lab Director: AUDREY L. BOROS
  • NPI Number: 1760123525
  • Taxonomy: 1223P0106X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D2277357
LAB Type Practitioner Other
Facility Name SEDGHIZADEH DDS, INC
Street 9201 SUNSET BLVD STE 903
City WEST HOLLYWOOD
State CA
ZIP 90069
Phone 424 444-7284
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Practitioner Other
Lab Director AUDREY L. BOROS

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