05D1061816 CLIA NUMBER - TOM YI DO

Laboratory Demographics

CLIA Number: 05D1061816

Facility Name: TOM YI DO

Facility Address:
65 N MADISON AVE STE 612
PASADENA, CA
ZIP 91101
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Facility Phone Number: 626 449-9800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336198514

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	11/28/2022
CertificateExpirationDate	11/27/2024
FacilityType	Waiver

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