05D0556026 CLIA NUMBER - NUBAR SETHIAN MD

Laboratory Demographics

  • CLIA Code: 05D0556026
  • Facility Name: NUBAR SETHIAN MD
  • Facility Address: 1028 N LAKE AVE #103
    PASADENA, CA
    ZIP 91104
  • Facility Phone: 626 797-3378
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NUBAR SETHIAN
  • NPI Number: 1609184142
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0556026
LAB Type Physician Office
Facility Name NUBAR SETHIAN MD
Street 1028 N LAKE AVE #103
City PASADENA
State CA
ZIP 91104
Phone 626 797-3378
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 Physician Office
Lab Director NUBAR SETHIAN

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