05D2323007 CLIA NUMBER - SHIVA MOHTASHAMI MD

Laboratory Demographics

  • CLIA Code: 05D2323007
  • Facility Name: SHIVA MOHTASHAMI MD
  • Facility Address: 18511 MISSION VIEW DR SUITE 100
    MORGAN HILL, CA
    ZIP 95037
  • Facility Phone: 408 659-7300
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHIVA MOHTASHAMI
  • NPI Number: 1326855776
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2323007
LAB Type Practitioner Other
Facility Name SHIVA MOHTASHAMI MD
Street 18511 MISSION VIEW DR SUITE 100
City MORGAN HILL
State CA
ZIP 95037
Phone 408 659-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Practitioner Other
Lab Director SHIVA MOHTASHAMI

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