05D2325443 CLIA NUMBER - TAVARUA HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D2325443
  • Facility Name: TAVARUA HEALTH SERVICES
  • Facility Address: 8207 WHITTIER BLVD
    PICO RIVERA, CA
    ZIP 90660
  • Facility Phone: 562 692-2522
  • Facility Type: Other - OTP METHADONE CLINIC
  • Facility Type: Waiver
  • Lab Director: MICHAEL YADEGARI
  • NPI Number: 1235344086
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2325443
LAB Type Other - OTP METHADONE CLINIC
Facility Name TAVARUA HEALTH SERVICES
Street 8207 WHITTIER BLVD
City PICO RIVERA
State CA
ZIP 90660
Phone 562 692-2522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Other - OTP METHADONE CLINIC
Lab Director MICHAEL YADEGARI

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