05D2296368 CLIA NUMBER - ALTAMED GENERAL PEDIATRICS AND DENTAL GROUP PASADENA LINCOLN

Laboratory Demographics

  • CLIA Code: 05D2296368
  • Facility Name: ALTAMED GENERAL PEDIATRICS AND DENTAL GROUP PASADENA LINCOLN
  • Facility Address: 2055 LINCOLN AVE
    PASADENA, CA
    ZIP 91103
  • Facility Phone: 888 499-9303
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: FRANCIS RUNAS
  • NPI Number: 1508110297
  • Taxonomy: 174H00000X - Health Educator

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CLIA Record

Field Name Field Value
CLIA Number 05D2296368
LAB Type Federally Qualified Health Center
Facility Name ALTAMED GENERAL PEDIATRICS AND DENTAL GROUP PASADENA LINCOLN
Street 2055 LINCOLN AVE
City PASADENA
State CA
ZIP 91103
Phone 888 499-9303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Federally Qualified Health Center
Lab Director FRANCIS RUNAS

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