05D0886997 CLIA NUMBER - PATHWAY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0886997
  • Facility Name: PATHWAY MEDICAL GROUP
  • Facility Address: 7955 WESTMINSTER BLVD
    WESTMINSTER, CA
    ZIP 92683
  • Facility Phone: 714 379-3221
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHALED M. CHAN MD
  • NPI Number: 1578519054
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0886997
LAB Type Physician Office
Facility Name PATHWAY MEDICAL GROUP
Street 7955 WESTMINSTER BLVD
City WESTMINSTER
State CA
ZIP 92683
Phone 714 379-3221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director KHALED M. CHAN MD

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