05D0887094 CLIA NUMBER - RICHARD G BENNETT M D

Laboratory Demographics

  • CLIA Code: 05D0887094
  • Facility Name: RICHARD G BENNETT M D
  • Facility Address: 50 ALESSANDRO PL, STE 130
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 564-4262
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RICHARD G. BENNETT, MD
  • NPI Number: 1679683239
  • Taxonomy: 363A00000X - Physician Assistant

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0887094
LAB Type Physician Office
Facility Name RICHARD G BENNETT M D
Street 50 ALESSANDRO PL, STE 130
City PASADENA
State CA
ZIP 91105
Phone 626 564-4262
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director RICHARD G. BENNETT, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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