05D2280525 CLIA NUMBER - HASS PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 05D2280525
  • Facility Name: HASS PAIN MANAGEMENT
  • Facility Address: 210 GRAND AVE STE 315
    GLENDORA, CA
    ZIP 91741
  • Facility Phone: 844 663-6567
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMIR ISKANDER
  • NPI Number: 1497475636
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2280525
LAB Type Physician Office
Facility Name HASS PAIN MANAGEMENT
Street 210 GRAND AVE STE 315
City GLENDORA
State CA
ZIP 91741
Phone 844 663-6567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director SAMIR ISKANDER

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