05D2315996 CLIA NUMBER - VIRTUALDOC INC

Laboratory Demographics

  • CLIA Code: 05D2315996
  • Facility Name: VIRTUALDOC INC
  • Facility Address: 23838 VALENCIA BLVD STE 150
    VALENCIA, CA
    ZIP 91355
  • Facility Phone: 661 200-0064
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NASTRAN HASHEMI
  • NPI Number: 1376071621
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2315996
LAB Type Physician Office
Facility Name VIRTUALDOC INC
Street 23838 VALENCIA BLVD STE 150
City VALENCIA
State CA
ZIP 91355
Phone 661 200-0064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Physician Office
Lab Director NASTRAN HASHEMI

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