CLIA lab

CLIA 05D1096651: Parisa Pourzand, MD Inc

Glendale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1096651 belongs to Parisa Pourzand, MD Inc in Glendale, CA.

Certificate of Waiver, effective March 10, 2025, expires March 9, 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 10, 2025
Certificate expiration
March 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 10, 2009
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
05D1096651
Lab name
Parisa Pourzand, MD Inc
Address
1141 Brand Blvd Ste 305, Glendale, CA 91202
Phone
(818) 545-8322
Fax
(818) 545-7906

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Parisa Pourzand, MD Inc in Glendale?

05D1096651, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Parisa Pourzand, MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1096651 expire?

The CMS file lists March 9, 2027 as the certificate expiration date; the certificate took effect March 10, 2025.

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