05D2297937 CLIA NUMBER - JONATHAN S POURMORADY MD INC

Laboratory Demographics

  • CLIA Code: 05D2297937
  • Facility Name: JONATHAN S POURMORADY MD INC
  • Facility Address: 8631 W 3RD ST STE 1015E
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 310 933-3229
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TED FARZANEH
  • NPI Number: 1487097119
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2297937
LAB Type Physician Office
Facility Name JONATHAN S POURMORADY MD INC
Street 8631 W 3RD ST STE 1015E
City LOS ANGELES
State CA
ZIP 90048
Phone 310 933-3229
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director TED FARZANEH

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