05D1035631 CLIA NUMBER - CRAIG R JOHNSON, MD INC

Laboratory Demographics

  • CLIA Code: 05D1035631
  • Facility Name: CRAIG R JOHNSON, MD INC
  • Facility Address: 960 E GREEN ST STE 292
    PASADENA, CA
    ZIP 91106
  • Facility Phone: 626 449-4494
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRAIG R. JOHNSON MD
  • NPI Number: 1336191063
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1035631
LAB Type Physician Office
Facility Name CRAIG R JOHNSON, MD INC
Street 960 E GREEN ST STE 292
City PASADENA
State CA
ZIP 91106
Phone 626 449-4494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director CRAIG R. JOHNSON MD

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