CLIA lab

CLIA 05D2079526: Behzad Souferzadeh DO

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

CLIA number 05D2079526 belongs to Behzad Souferzadeh DO in Sherman Oaks, CA.

Certificate of Waiver, effective June 17, 2026, expires June 16, 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
June 17, 2026
Certificate expiration
June 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 17, 2014
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
05D2079526
Lab name
Behzad Souferzadeh DO
Address
5000 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403
Phone
(818) 572-1490
Fax
(818) 572-1491

Annual test volume the lab reported

Waived tests
150

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 Behzad Souferzadeh DO in Sherman Oaks?

05D2079526, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Behzad Souferzadeh DO hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2079526 expire?

The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.

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