CLIA lab
CLIA 05D1013489: Pasadena Surgery Center LLC
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1013489 belongs to Pasadena Surgery Center LLC in Pasadena, CA.
Certificate of Waiver, effective June 10, 2025, expires June 9, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 10, 2025
- Certificate expiration
- June 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 10, 2003
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1013489
- Lab name
- Pasadena Surgery Center LLC
- Address
- 31 W Bellevue Dr, Pasadena, CA 91105
- Phone
- (626) 584-6116
- Fax
- (626) 584-7886
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Pasadena Surgery Center LLC in Pasadena?
05D1013489, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pasadena Surgery Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1013489 expire?
The CMS file lists June 9, 2027 as the certificate expiration date; the certificate took effect June 10, 2025.