05D2150955 CLIA NUMBER - ST GREGORY ADHC

Laboratory Demographics

  • CLIA Code: 05D2150955
  • Facility Name: ST GREGORY ADHC
  • Facility Address: 2215 E COLORADO BLVD
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 817-9553
  • Facility Type: Other - CBAS/ADHC
  • Facility Type: Waiver
  • Lab Director: ARMEN Y. NERCESSIAN
  • NPI Number: 1528566429
  • Taxonomy: 261QA0600X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2150955
LAB Type Other - CBAS/ADHC
Facility Name ST GREGORY ADHC
Street 2215 E COLORADO BLVD
City PASADENA
State CA
ZIP 91107
Phone 626 817-9553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Other - CBAS/ADHC
Lab Director ARMEN Y. NERCESSIAN

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