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05D0887094 CLIA NUMBER - RICHARD G BENNETT M D

Laboratory Demographics

CLIA Number: 05D0887094

Facility Name: RICHARD G BENNETT M D

Facility Address:
50 ALESSANDRO PL, STE 130
PASADENA, CA
ZIP 91105
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Facility Phone Number: 626 564-4262

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1679683239

Taxonomy: 363A00000X - Physician Assistant
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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
CertificateType 2
CertificateEffectiveDate 12/21/2023
CertificateExpirationDate 12/20/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024