05D2282279 CLIA NUMBER - MASOUD AFSHAR MD INC

Laboratory Demographics

  • CLIA Code: 05D2282279
  • Facility Name: MASOUD AFSHAR MD INC
  • Facility Address: 220 N IMPERIAL AVE
    IMPERIAL, CA
    ZIP 92251
  • Facility Phone: 760 344-7976
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AFHAR MASOUD
  • NPI Number: 1801484241
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2282279
LAB Type Physician Office
Facility Name MASOUD AFSHAR MD INC
Street 220 N IMPERIAL AVE
City IMPERIAL
State CA
ZIP 92251
Phone 760 344-7976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Physician Office
Lab Director AFHAR MASOUD

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