05D0899079 CLIA NUMBER - AZUSA PACIFIC UNIVERSITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0899079
  • Facility Name: AZUSA PACIFIC UNIVERSITY HEALTH CENTER
  • Facility Address: 901 E ALOSTA AVE
    AZUSA, CA
    ZIP 91702
  • Facility Phone: 626 815-2100
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: STANTON T. EMERSON
  • NPI Number: 1104002146
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0899079
LAB Type School/Student Health Service
Facility Name AZUSA PACIFIC UNIVERSITY HEALTH CENTER
Street 901 E ALOSTA AVE
City AZUSA
State CA
ZIP 91702
Phone 626 815-2100
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 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type School/Student Health Service
Lab Director STANTON T. EMERSON

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