05D2318089 CLIA NUMBER - AGAH MEDICAL

Laboratory Demographics

  • CLIA Code: 05D2318089
  • Facility Name: AGAH MEDICAL
  • Facility Address: 2495 HOSPITAL DR SUITE 550
    MOUNTAIN VIEW, CA
    ZIP 94040
  • Facility Phone: 650 315-1252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMTIN AGAH
  • NPI Number: 1316764293
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2318089
LAB Type Physician Office
Facility Name AGAH MEDICAL
Street 2495 HOSPITAL DR SUITE 550
City MOUNTAIN VIEW
State CA
ZIP 94040
Phone 650 315-1252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director RAMTIN AGAH

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