05D0576925 CLIA NUMBER - PATHWAY MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D0576925
  • Facility Name: PATHWAY MEDICAL GROUP INC
  • Facility Address: 12462 BROOKHURST ST STE A&B
    GARDEN GROVE, CA
    ZIP 92840
  • Facility Phone: 714 636-9850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASAAD HAKIM
  • NPI Number: 1407802069
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0576925
LAB Type Physician Office
Facility Name PATHWAY MEDICAL GROUP INC
Street 12462 BROOKHURST ST STE A&B
City GARDEN GROVE
State CA
ZIP 92840
Phone 714 636-9850
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 ASAAD HAKIM

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This page was last updated on: 6/4/2025