05D0556018 CLIA NUMBER - STEPHEN D HENRY MD

Laboratory Demographics

  • CLIA Code: 05D0556018
  • Facility Name: STEPHEN D HENRY MD
  • Facility Address: 2319 E WASHINGTON BLVD
    PASADENA, CA
    ZIP 91104
  • Facility Phone: 626 797-8800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN D. HENRY
  • NPI Number: 1811925183
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0556018
LAB Type Physician Office
Facility Name STEPHEN D HENRY MD
Street 2319 E WASHINGTON BLVD
City PASADENA
State CA
ZIP 91104
Phone 626 797-8800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Physician Office
Lab Director STEPHEN D. HENRY

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