05D2313704 CLIA NUMBER - SHARIAR COHEN MD CORP

Laboratory Demographics

  • CLIA Code: 05D2313704
  • Facility Name: SHARIAR COHEN MD CORP
  • Facility Address: 566 SAINT CHARLES DR
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 449-8781
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHARIAR COHEN-GADOL
  • NPI Number: 1013054865
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2313704
LAB Type Physician Office
Facility Name SHARIAR COHEN MD CORP
Street 566 SAINT CHARLES DR
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 449-8781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director SHARIAR COHEN-GADOL

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