CLIA lab
CLIA 05D1023044: Azita Fakhari MD
Tarzana, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1023044 belongs to Azita Fakhari MD in Tarzana, CA.
Certificate of Waiver, effective March 5, 2026, expires March 4, 2028.
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 5, 2026
- Certificate expiration
- March 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 5, 2004
- 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
- 05D1023044
- Lab name
- Azita Fakhari MD
- Address
- 19100 Ventura Blvd, Ste A, Tarzana, CA 91356
- Phone
- (818) 343-0101
- Fax
- (818) 343-0269
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Institute for Obstetrics andCertificate for Provider-Performed Microscopy Procedures, Other practitioner05D1021332
- All State Patient CareCertificate of Waiver, Home health agency05D2308189
- Allergy Asthma Care Center, Inc.Certificate of Waiver, Physician office05D2127936
- American Urgent Care CenterCertificate of Waiver, Other05D2138090
- Attentive Home Health IncCertificate of Waiver, Home health agency05D2190142
- Autumn Hill Behavioral Heath II, LLCCertificate of Waiver, Ancillary test site05D2335226
- Autumn Hills Behavioral Health, LLCCertificate of Waiver, Ancillary test site05D2325127
- Avanguard Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1059354
Related
Questions
What is the CLIA number for Azita Fakhari MD in Tarzana?
05D1023044, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Azita Fakhari MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1023044 expire?
The CMS file lists March 4, 2028 as the certificate expiration date; the certificate took effect March 5, 2026.