05D2009292 CLIA NUMBER - PASADENA SURGERY CENTER INC

Laboratory Demographics

  • CLIA Code: 05D2009292
  • Facility Name: PASADENA SURGERY CENTER INC
  • Facility Address: 1035 S FAIROAKS AVE STE 101
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 696-1455
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ANDREW SELTZER
  • NPI Number: 1598137291
  • Taxonomy: 2086S0120X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2009292
LAB Type Ambulance
Facility Name PASADENA SURGERY CENTER INC
Street 1035 S FAIROAKS AVE STE 101
City PASADENA
State CA
ZIP 91105
Phone 626 696-1455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Ambulance
Lab Director ANDREW SELTZER

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