05D2311009 CLIA NUMBER - FARID YASHARPOUR MD

Laboratory Demographics

  • CLIA Code: 05D2311009
  • Facility Name: FARID YASHARPOUR MD
  • Facility Address: 14671 RINALDI ST
    SAN FERNANDO, CA
    ZIP 91340
  • Facility Phone: 818 270-9030
  • Facility Type: Other - CLINICAL RESEARCH CLINIC
  • Facility Type: Waiver
  • Lab Director: FARID YASHARPOUR
  • NPI Number: 1073505764
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2311009
LAB Type Other - CLINICAL RESEARCH CLINIC
Facility Name FARID YASHARPOUR MD
Street 14671 RINALDI ST
City SAN FERNANDO
State CA
ZIP 91340
Phone 818 270-9030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Other - CLINICAL RESEARCH CLINIC
Lab Director FARID YASHARPOUR

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