05D0987124 CLIA NUMBER - PATHWAY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0987124
  • Facility Name: PATHWAY MEDICAL GROUP
  • Facility Address: 12665 GARDEN GROVE BOULEVARD, #502-B
    GARDEN GROVE, CA
    ZIP 92843
  • Facility Phone: 714 534-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASAAD E. HAKIM, MD
  • NPI Number: 1902853302
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0987124
LAB Type Physician Office
Facility Name PATHWAY MEDICAL GROUP
Street 12665 GARDEN GROVE BOULEVARD, #502-B
City GARDEN GROVE
State CA
ZIP 92843
Phone 714 534-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director ASAAD E. HAKIM, MD

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