05D2065970 CLIA NUMBER - FOOTHILL VASCULAR CENTER

Laboratory Demographics

  • CLIA Code: 05D2065970
  • Facility Name: FOOTHILL VASCULAR CENTER
  • Facility Address: 105 N HILL AVE, STE 200
    PASADENA, CA
    ZIP 91106
  • Facility Phone: 626 585-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJESH CHAWLA
  • NPI Number: 1194060905
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2065970
LAB Type Physician Office
Facility Name FOOTHILL VASCULAR CENTER
Street 105 N HILL AVE, STE 200
City PASADENA
State CA
ZIP 91106
Phone 626 585-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director RAJESH CHAWLA

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