05D1029276 CLIA NUMBER - IRINA JASPER MD

Laboratory Demographics

  • CLIA Code: 05D1029276
  • Facility Name: IRINA JASPER MD
  • Facility Address: 960 E GREEN ST
    PASADENA, CA
    ZIP 91106
  • Facility Phone: 686 356-0340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASPER IRINA MD
  • NPI Number: 1356421903
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1029276
LAB Type Physician Office
Facility Name IRINA JASPER MD
Street 960 E GREEN ST
City PASADENA
State CA
ZIP 91106
Phone 686 356-0340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director JASPER IRINA MD

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