05D2130197 CLIA NUMBER - SHRINERS FOR CHILDREN AMBULATORY SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2130197
  • Facility Name: SHRINERS FOR CHILDREN AMBULATORY SURGICAL CENTER
  • Facility Address: 909 S FAIR OAKS AVE
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 389-9300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JENNIFER M. WEISS
  • NPI Number: 1114358249
  • Taxonomy: 261QM2500X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2130197
LAB Type Ambulatory Surgery Center
Facility Name SHRINERS FOR CHILDREN AMBULATORY SURGICAL CENTER
Street 909 S FAIR OAKS AVE
City PASADENA
State CA
ZIP 91105
Phone 626 389-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Ambulatory Surgery Center
Lab Director JENNIFER M. WEISS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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