05D2048388 CLIA NUMBER - RISSER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2048388
  • Facility Name: RISSER SURGERY CENTER
  • Facility Address: 2615 E. WASHINGTON BLVD.
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 797-2002
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BHUPENDRA PRADHAN
  • NPI Number: 1124395876
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2048388
LAB Type Ambulatory Surgery Center
Facility Name RISSER SURGERY CENTER
Street 2615 E. WASHINGTON BLVD.
City PASADENA
State CA
ZIP 91107
Phone 626 797-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Ambulatory Surgery Center
Lab Director BHUPENDRA PRADHAN

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