05D2184496 CLIA NUMBER - PASADENA AMBULATORY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2184496
  • Facility Name: PASADENA AMBULATORY SURGERY CENTER LLC
  • Facility Address: 301 S FAIR OAKS AVE #106
    PASADENA, CA
    ZIP 91105
  • Facility Phone: 626 440-0099
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HUSAM G. ELIAS
  • NPI Number: 1508948787
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2184496
LAB Type Ambulatory Surgery Center
Facility Name PASADENA AMBULATORY SURGERY CENTER LLC
Street 301 S FAIR OAKS AVE #106
City PASADENA
State CA
ZIP 91105
Phone 626 440-0099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Ambulatory Surgery Center
Lab Director HUSAM G. ELIAS

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