05D2029202 CLIA NUMBER - PASADENA LASER & SURGERY CENTER

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Laboratory Demographics

CLIA Number: 05D2029202

Facility Name: PASADENA LASER & SURGERY CENTER

Facility Address:
960 E GREEN ST STE 110
PASADENA, CA
ZIP 91106
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Facility Phone Number: 626 294-4866

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1013993252

Taxonomy: 208VP0014X - Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CLIA Record

Field Name	Field Value
CLIA Number	05D2029202
LAB Type	Ambulatory Surgery Center
Facility Name	PASADENA LASER & SURGERY CENTER
Street	960 E GREEN ST STE 110
City	PASADENA
State	CA
ZIP	91106
Phone	626 294-4866
CertificateType	4
CertificateEffectiveDate	9/1/2023
CertificateExpirationDate	8/31/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024