09D1083088 CLIA NUMBER - SASSAN TAGHIZADEH MD

Laboratory Demographics

  • CLIA Code: 09D1083088
  • Facility Name: SASSAN TAGHIZADEH MD
  • Facility Address: 1160 VARNUM STREET NE #115
    WASHINGTON, DC
    ZIP 20017
  • Facility Phone: 202 269-4770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SASSAN M. TAGHIZADEH
  • NPI Number: 1992722557
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 09D1083088
LAB Type Physician Office
Facility Name SASSAN TAGHIZADEH MD
Street 1160 VARNUM STREET NE #115
City WASHINGTON
State DC
ZIP 20017
Phone 202 269-4770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director SASSAN M. TAGHIZADEH

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