05D1088550 CLIA NUMBER - MADISON 101 PASADENA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D1088550
  • Facility Name: MADISON 101 PASADENA SURGERY CENTER
  • Facility Address: 301 S FAIR OAKS AVE, STE 202
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 793-5134
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. SCHWARTZ
  • NPI Number: 1760640338
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1088550
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MADISON 101 PASADENA SURGERY CENTER
Street 301 S FAIR OAKS AVE, STE 202
City PASADENA
State CA
ZIP 91105
Phone 626 793-5134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MICHAEL S. SCHWARTZ

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