05D0673047 CLIA NUMBER - HUNTINGTON MEDICAL FOUNDATION

Laboratory Demographics

  • CLIA Code: 05D0673047
  • Facility Name: HUNTINGTON MEDICAL FOUNDATION
  • Facility Address: 800 FAIRMOUNT AVE, STE 310
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 310 248-7106
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA LEE
  • NPI Number: 1609950237
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0673047
LAB Type Physician Office
Facility Name HUNTINGTON MEDICAL FOUNDATION
Street 800 FAIRMOUNT AVE, STE 310
City PASADENA
State CA
ZIP 91105
Phone 310 248-7106
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 PAMELA LEE

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