05D0862644 CLIA NUMBER - PASADENA UNIFIED SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 05D0862644
  • Facility Name: PASADENA UNIFIED SCHOOL DISTRICT
  • Facility Address: 351 SOUTH HUDSON AVENUE, ROOM 130
    PASADENA, CA
    ZIP 91101
  • Facility Phone: 626 396-3600
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: MAY LAU, MD
  • NPI Number: 1518288570
  • Taxonomy: 225XP0019X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 05D0862644
LAB Type Community Clinic
Facility Name PASADENA UNIFIED SCHOOL DISTRICT
Street 351 SOUTH HUDSON AVENUE, ROOM 130
City PASADENA
State CA
ZIP 91101
Phone 626 396-3600
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director MAY LAU, MD

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