05D2082411 CLIA NUMBER - PACIFIC PAIN AND REGENERATIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 05D2082411
  • Facility Name: PACIFIC PAIN AND REGENERATIVE MEDICINE
  • Facility Address: 22 ODYSSEY STE 165
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 949 872-2632
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HASAN BADDAY, MD
  • NPI Number: 1972914133
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 05D2082411
LAB Type Physician Office
Facility Name PACIFIC PAIN AND REGENERATIVE MEDICINE
Street 22 ODYSSEY STE 165
City IRVINE
State CA
ZIP 92618
Phone 949 872-2632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Physician Office
Lab Director HASAN BADDAY, MD

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