05D2062076 CLIA NUMBER - ELISA C ALVARADO MD INC

Laboratory Demographics

  • CLIA Code: 05D2062076
  • Facility Name: ELISA C ALVARADO MD INC
  • Facility Address: 630 S RAYMOND AVE STE 340
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 584-0026
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELISA C. ALVARADO
  • NPI Number: 1891979746
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2062076
LAB Type Physician Office
Facility Name ELISA C ALVARADO MD INC
Street 630 S RAYMOND AVE STE 340
City PASADENA
State CA
ZIP 91105
Phone 626 584-0026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director ELISA C. ALVARADO

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