05D1045663 CLIA NUMBER - WASHINGTON MEDICAL GROUP MARINA E. MANVELYAN, M.D.

Laboratory Demographics

  • CLIA Code: 05D1045663
  • Facility Name: WASHINGTON MEDICAL GROUP MARINA E. MANVELYAN, M.D.
  • Facility Address: 2544 E WASHINGTON BLVD STE C
    PASADENA, CA
    ZIP 91104
  • Facility Phone: 626 798-1085
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARINA MANVELYAN
  • NPI Number: 1083850507
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1045663
LAB Type Physician Office
Facility Name WASHINGTON MEDICAL GROUP MARINA E. MANVELYAN, M.D.
Street 2544 E WASHINGTON BLVD STE C
City PASADENA
State CA
ZIP 91104
Phone 626 798-1085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director MARINA MANVELYAN

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