05D2261912 CLIA NUMBER - PLACID PATH HOSPICE, LLC DBA TRADITIONS HEALTH

Laboratory Demographics

  • CLIA Code: 05D2261912
  • Facility Name: PLACID PATH HOSPICE, LLC DBA TRADITIONS HEALTH
  • Facility Address: 149 PASADENA AVE, #C
    SOUTH PASADENA, CA
    ZIP 91030
  • Facility Phone: 818 290-3063
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JON KEA
  • NPI Number: 1093085102
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2261912
LAB Type Hospice
Facility Name PLACID PATH HOSPICE, LLC DBA TRADITIONS HEALTH
Street 149 PASADENA AVE, #C
City SOUTH PASADENA
State CA
ZIP 91030
Phone 818 290-3063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Hospice
Lab Director JON KEA

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