CLIA lab
CLIA 05D1018039: Dorothea Spambalg MD
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1018039 belongs to Dorothea Spambalg MD in Pasadena, CA.
Certificate of Waiver, effective October 10, 2025, expires October 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
- October 10, 2025
- Certificate expiration
- October 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 10, 2003
- Facility type
- Physician office
- 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
- 05D1018039
- Lab name
- Dorothea Spambalg MD
- Address
- 221 E Walnut Street Suite 115, Pasadena, CA 91101
- Phone
- (626) 577-0505
- Fax
- (626) 577-5959
Annual test volume the lab reported
- Waived tests
- 1,200
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 Dorothea Spambalg MD in Pasadena?
05D1018039, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dorothea Spambalg MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1018039 expire?
The CMS file lists October 9, 2027 as the certificate expiration date; the certificate took effect October 10, 2025.