05D2189712 CLIA NUMBER - ALEXANIAN MEDICAL LABORATORIES

Laboratory Demographics

  • CLIA Code: 05D2189712
  • Facility Name: ALEXANIAN MEDICAL LABORATORIES
  • Facility Address: 30461 PASSAGEWAY PL
    AGOURA HILLS, CA
    ZIP 91301
  • Facility Phone: 424 262-0474
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SERGE ALEXANIAN
  • NPI Number: 1033853221
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 05D2189712
LAB Type Independent
Facility Name ALEXANIAN MEDICAL LABORATORIES
Street 30461 PASSAGEWAY PL
City AGOURA HILLS
State CA
ZIP 91301
Phone 424 262-0474
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/26/2022
Certificate Expiration Date 6/30/2025
Facility Type Independent
Lab Director DR. SERGE ALEXANIAN

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This page was last updated on: 6/4/2025