05D2293049 CLIA NUMBER - PATHWAYS RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2293049
  • Facility Name: PATHWAYS RECOVERY CENTER
  • Facility Address: 1033 N SOLDANO AVE
    AZUSA, CA
    ZIP 91702
  • Facility Phone: 888 711-0966
  • Facility Type: Other - RESIDENTIAL TREAT FACIL
  • Facility Type: Waiver
  • Lab Director: MOSES NASSER JR
  • NPI Number: 1720659816
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2293049
LAB Type Other - RESIDENTIAL TREAT FACIL
Facility Name PATHWAYS RECOVERY CENTER
Street 1033 N SOLDANO AVE
City AZUSA
State CA
ZIP 91702
Phone 888 711-0966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Other - RESIDENTIAL TREAT FACIL
Lab Director MOSES NASSER JR

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This page was last updated on: 3/20/2025