05D1103567 CLIA NUMBER - PASADENA PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 05D1103567
  • Facility Name: PASADENA PLASTIC SURGERY
  • Facility Address: 452 N ALTADENA DR, STE 210
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 432-5032
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VINCENT C. HUNG, MD
  • NPI Number: 1295978401
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1103567
LAB Type Ambulatory Surgery Center
Facility Name PASADENA PLASTIC SURGERY
Street 452 N ALTADENA DR, STE 210
City PASADENA
State CA
ZIP 91107
Phone 626 432-5032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Ambulatory Surgery Center
Lab Director VINCENT C. HUNG, MD

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