05D2286440 CLIA NUMBER - ISSAC HADDAD MD INC

Laboratory Demographics

  • CLIA Code: 05D2286440
  • Facility Name: ISSAC HADDAD MD INC
  • Facility Address: 2990 E COLORADO BLVD SUITE 105C
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 793-3700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISSAC HADDAD
  • NPI Number: 1952453789
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2286440
LAB Type Physician Office
Facility Name ISSAC HADDAD MD INC
Street 2990 E COLORADO BLVD SUITE 105C
City PASADENA
State CA
ZIP 91107
Phone 626 793-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director ISSAC HADDAD

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