05D1104927 CLIA NUMBER - PASADENA FOOTHILLS DIALYSIS

Laboratory Demographics

  • CLIA Code: 05D1104927
  • Facility Name: PASADENA FOOTHILLS DIALYSIS
  • Facility Address: 3722 E COLORADO BLVD
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 432-4331
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUKHPAL GILL
  • NPI Number: 1760624092
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1104927
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PASADENA FOOTHILLS DIALYSIS
Street 3722 E COLORADO BLVD
City PASADENA
State CA
ZIP 91107
Phone 626 432-4331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUKHPAL GILL

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