05D0576919 CLIA NUMBER - PATHWAY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0576919
  • Facility Name: PATHWAY MEDICAL GROUP
  • Facility Address: 12665 GARDEN GROVE BLVD SUITE 502 A
    GARDEN GROVE, CA
    ZIP 92843
  • Facility Phone: 714 537-7800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ASAAD E. HAKIM MD
  • NPI Number: 1184670762
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0576919
LAB Type Physician Office
Facility Name PATHWAY MEDICAL GROUP
Street 12665 GARDEN GROVE BLVD SUITE 502 A
City GARDEN GROVE
State CA
ZIP 92843
Phone 714 537-7800
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 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Physician Office
Lab Director ASAAD E. HAKIM MD

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