05D1061816 CLIA NUMBER - TOM YI DO

Laboratory Demographics

  • CLIA Code: 05D1061816
  • Facility Name: TOM YI DO
  • Facility Address: 65 N MADISON AVE STE 612
    PASADENA, CA
    ZIP 91101
  • Facility Phone: 626 449-9800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TOM Y. YI
  • NPI Number: 1336198514
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1061816
LAB Type Physician Office
Facility Name TOM YI DO
Street 65 N MADISON AVE STE 612
City PASADENA
State CA
ZIP 91101
Phone 626 449-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Physician Office
Lab Director TOM Y. YI

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