45D1017598 CLIA NUMBER - KAYVAN KAMALI, MD

Laboratory Demographics

  • CLIA Code: 45D1017598
  • Facility Name: KAYVAN KAMALI, MD
  • Facility Address: 920 JUDSON RD
    LONGVIEW, TX
    ZIP 75601
  • Facility Phone: 903 236-7020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAYVAN KAMALI MD
  • NPI Number: 1013912856
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1017598
LAB Type Physician Office
Facility Name KAYVAN KAMALI, MD
Street 920 JUDSON RD
City LONGVIEW
State TX
ZIP 75601
Phone 903 236-7020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Physician Office
Lab Director KAYVAN KAMALI MD

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