05D2147155 CLIA NUMBER - MARK KISLINGER MD INC

Laboratory Demographics

  • CLIA Code: 05D2147155
  • Facility Name: MARK KISLINGER MD INC
  • Facility Address: 2619 E COLORADO BLVD STE 100
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 793-3625
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK B. KISLINGER
  • NPI Number: 1215089594
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2147155
LAB Type Physician Office
Facility Name MARK KISLINGER MD INC
Street 2619 E COLORADO BLVD STE 100
City PASADENA
State CA
ZIP 91107
Phone 626 793-3625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director MARK B. KISLINGER

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