05D2153681 CLIA NUMBER - EXER MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2153681
  • Facility Name: EXER MEDICAL CORPORATION
  • Facility Address: 600 S LAKE AVE SUITE 105
    PASADENA, CA
    ZIP 91106
  • Facility Phone: 626 844-8848
  • Facility Type: Other - URGENT CARE CLINIC LAB
  • Facility Type: Waiver
  • Lab Director: PEJMAN BOLOURIAN
  • NPI Number: 1467493387
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2153681
LAB Type Other - URGENT CARE CLINIC LAB
Facility Name EXER MEDICAL CORPORATION
Street 600 S LAKE AVE SUITE 105
City PASADENA
State CA
ZIP 91106
Phone 626 844-8848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Other - URGENT CARE CLINIC LAB
Lab Director PEJMAN BOLOURIAN

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