05D2165515 CLIA NUMBER - BOBBY PEZESHKI, MD INC DBA CENTRO MEDICO MACARTHUR PARK

Laboratory Demographics

  • CLIA Code: 05D2165515
  • Facility Name: BOBBY PEZESHKI, MD INC DBA CENTRO MEDICO MACARTHUR PARK
  • Facility Address: 2011 WILSHIRE BOULEVARD SUITE 300
    LOS ANGELES, CA
    ZIP 90057
  • Facility Phone: 213 413-2700
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BABAK PEZESHKI
  • NPI Number: 1164999215
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2165515
LAB Type Community Clinic
Facility Name BOBBY PEZESHKI, MD INC DBA CENTRO MEDICO MACARTHUR PARK
Street 2011 WILSHIRE BOULEVARD SUITE 300
City LOS ANGELES
State CA
ZIP 90057
Phone 213 413-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Community Clinic
Lab Director BABAK PEZESHKI

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