05D0963035 CLIA NUMBER - JOHN K F DE BEIXEDON MD INC

Laboratory Demographics

  • CLIA Code: 05D0963035
  • Facility Name: JOHN K F DE BEIXEDON MD INC
  • Facility Address: 675 S ARROYO PKWY STE 320
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 395-7732
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN K F. DE BEIXEDON MD
  • NPI Number: 1871517953
  • Taxonomy: 207PS0010X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0963035
LAB Type Physician Office
Facility Name JOHN K F DE BEIXEDON MD INC
Street 675 S ARROYO PKWY STE 320
City PASADENA
State CA
ZIP 91105
Phone 626 395-7732
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 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director JOHN K F. DE BEIXEDON MD

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