CLIA lab
CLIA 05D1061816: Tom Yi DO
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1061816 belongs to Tom Yi DO in Pasadena, CA.
Certificate of Waiver, effective November 28, 2024, expires November 27, 2026.
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
- November 28, 2024
- Certificate expiration
- November 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 28, 2006
- 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
- 05D1061816
- Lab name
- Tom Yi DO
- Address
- 65 N Madison Ave Ste 612, Pasadena, CA 91101
- Phone
- (626) 449-9800
- Fax
- (626) 449-3939
Annual test volume the lab reported
- Waived tests
- 100
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 Tom Yi DO in Pasadena?
05D1061816, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tom Yi DO hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1061816 expire?
The CMS file lists November 27, 2026 as the certificate expiration date; the certificate took effect November 28, 2024.