05D0555967 CLIA NUMBER - VILLA GARDENS HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0555967
  • Facility Name: VILLA GARDENS HEALTH CENTER
  • Facility Address: 842 EAST VILLA STREET
    PASADENA, CA
    ZIP 91101
  • Facility Phone: 626 796-8162
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAUL LIU MD
  • NPI Number: 1104902725
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0555967
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VILLA GARDENS HEALTH CENTER
Street 842 EAST VILLA STREET
City PASADENA
State CA
ZIP 91101
Phone 626 796-8162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PAUL LIU MD

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