05D1077011 CLIA NUMBER - PASADENA ADVANCED SURGERY INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D1077011
  • Facility Name: PASADENA ADVANCED SURGERY INSTITUTE
  • Facility Address: 1044 S FAIR OAKS AVE #110
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 768-4422
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID MARTIN
  • NPI Number: 1629231782
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1077011
LAB Type Ambulatory Surgery Center
Facility Name PASADENA ADVANCED SURGERY INSTITUTE
Street 1044 S FAIR OAKS AVE #110
City PASADENA
State CA
ZIP 91105
Phone 626 768-4422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Ambulatory Surgery Center
Lab Director DAVID MARTIN

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