05D2034863 CLIA NUMBER - CASA DE LAS AMIGAS

Laboratory Demographics

  • CLIA Code: 05D2034863
  • Facility Name: CASA DE LAS AMIGAS
  • Facility Address: 160 N EL MOLINO AVE
    PASADENA, CA
    ZIP 91101
  • Facility Phone: 626 792-7220
  • Facility Type: Other - BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: EUGENE CAINE MD
  • NPI Number: 1851917033
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2034863
LAB Type Other - BEHAVIORAL HEALTH
Facility Name CASA DE LAS AMIGAS
Street 160 N EL MOLINO AVE
City PASADENA
State CA
ZIP 91101
Phone 626 792-7220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Other - BEHAVIORAL HEALTH
Lab Director EUGENE CAINE MD

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