05D2113678 CLIA NUMBER - THE GOODEN CENTER

Laboratory Demographics

  • CLIA Code: 05D2113678
  • Facility Name: THE GOODEN CENTER
  • Facility Address: 191 N EL MOLINO AVE
    PASADENA, CA
    ZIP 91101
  • Facility Phone: 626 356-0078
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. ALI NASSIRI
  • NPI Number: 1821135393
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2113678
LAB Type Comp. Outpatient Rehab Facility
Facility Name THE GOODEN CENTER
Street 191 N EL MOLINO AVE
City PASADENA
State CA
ZIP 91101
Phone 626 356-0078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. ALI NASSIRI

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