05D0556222 CLIA NUMBER - PASADENA GASTROENTRLGY MED GRP

Laboratory Demographics

  • CLIA Code: 05D0556222
  • Facility Name: PASADENA GASTROENTRLGY MED GRP
  • Facility Address: 2750 EAST WASHINGTON BOULEVARD #330
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 793-4409
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISAAC A. BARTLEY
  • NPI Number: 1740592088
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0556222
LAB Type Physician Office
Facility Name PASADENA GASTROENTRLGY MED GRP
Street 2750 EAST WASHINGTON BOULEVARD #330
City PASADENA
State CA
ZIP 91107
Phone 626 793-4409
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 ISAAC A. BARTLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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