CLIA lab
CLIA 05D0691284: Keven Tagdiri MD
Encinitas, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0691284 belongs to Keven Tagdiri MD in Encinitas, CA.
Certificate of Waiver, effective March 8, 2025, expires March 7, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 8, 2025
- Certificate expiration
- March 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0691284
- Lab name
- Keven Tagdiri MD
- Address
- 4401 Manchester Ave, Ste 103, Encinitas, CA 92024
- Phone
- (858) 756-3021
- Fax
- (760) 753-3405
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Encinitas, CA
- Access Medical CentersCertificate for Provider-Performed Microscopy Procedures, Physician office05D0907624
- Amanda Abramson Lloyd MD IncCertificate of Compliance, Physician office05D2124055
- Andre Sanschagrin MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0565673
- At Home Nursing Care IncCertificate of Waiver, Home health agency05D2112608
- Aton Center IncCertificate of Waiver, Ancillary test site05D2301154
- Aton Center, IncCertificate of Waiver, Ancillary test site05D2168302
- Aviara Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility05D0859736
- Black Mountain Healthcare LLCCertificate of Waiver, Hospice05D2056691
- Bold Health Medical GroupCertificate of Waiver, Physician office05D2137485
- Bold Health Medical Group, East OfficeCertificate of Waiver, Physician office05D2320456
Related
Questions
What is the CLIA number for Keven Tagdiri MD in Encinitas?
05D0691284, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Keven Tagdiri MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0691284 expire?
The CMS file lists March 7, 2027 as the certificate expiration date; the certificate took effect March 8, 2025.