05D2192897 CLIA NUMBER - PASADENA CARE CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2192897
  • Facility Name: PASADENA CARE CENTER LLC
  • Facility Address: 1640 N FAIR OAKS AVE
    PASADENA, CA
    ZIP 91103
  • Facility Phone: 626 773-7969
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN LIU
  • NPI Number: 1326593211
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 05D2192897
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PASADENA CARE CENTER LLC
Street 1640 N FAIR OAKS AVE
City PASADENA
State CA
ZIP 91103
Phone 626 773-7969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOHN LIU

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