05D1013476 CLIA NUMBER - HZOR MEDICAL SERVICES/HMS ADHCC

Laboratory Demographics

CLIA Number: 05D1013476

Facility Name: HZOR MEDICAL SERVICES/HMS ADHCC

Facility Address:
740 E WASHINGTON BLVD
PASADENA, CA
ZIP 91104
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Facility Phone Number: 626 345-1240

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1962501494

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1013476
LAB Type	Ambulance
Facility Name	HZOR MEDICAL SERVICES/HMS ADHCC
Street	740 E WASHINGTON BLVD
City	PASADENA
State	CA
ZIP	91104
Phone	626 345-1240
CertificateType	4
CertificateEffectiveDate	6/10/2023
CertificateExpirationDate	6/9/2025
FacilityType	Waiver

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