05D0986099 CLIA NUMBER - CROWN CITY ADULT DAY HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0986099
  • Facility Name: CROWN CITY ADULT DAY HEALTH CARE CENTER
  • Facility Address: 122 N EL MOLINO AVE
    PASADENA, CA
    ZIP 91101
  • Facility Phone: 626 583-8822
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: VLAD NUSINOVICH
  • NPI Number: 1972719185
  • Taxonomy: 171W00000X - Contractor

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CLIA Record

Field Name Field Value
CLIA Number 05D0986099
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CROWN CITY ADULT DAY HEALTH CARE CENTER
Street 122 N EL MOLINO AVE
City PASADENA
State CA
ZIP 91101
Phone 626 583-8822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director VLAD NUSINOVICH

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