CLIA lab
CLIA 05D1103567: Pasadena Plastic Surgery
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1103567 belongs to Pasadena Plastic Surgery in Pasadena, CA.
Certificate of Waiver, effective August 13, 2025, expires August 12, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 13, 2025
- Certificate expiration
- August 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 2009
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Private
- 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
- 05D1103567
- Lab name
- Pasadena Plastic Surgery
- Address
- 452 N Altadena Dr, Ste 210, Pasadena, CA 91107
- Phone
- (626) 432-5032
- Fax
- (626) 432-5030
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pasadena, CA
- 986 Specialty Pharmacy Pasadena IncCertificate of Waiver, Pharmacy05D2188706
- A To Z Pediatrics, Professional CorporationCertificate of Waiver, Physician office05D2279193
- Aaron J Epstein, MD IncCertificate of Waiver, Physician office05D2317564
- Advance Spine Care and Pain ManagementCertificate of Waiver, Physician office05D2107692
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0686992
- All for You Home Health CareCertificate of Waiver, Home health agency05D2350197
- Allied Medical Laboratory IncCertificate of Compliance, Independent05D2038784
- Alpha HormonesCertificate of Compliance, Physician office05D2298277
- Altamed Medical Group Pasadena Del MarCertificate of Waiver, Federally qualified health center05D2296372
- Altamed Medical Group Pasadena LakeCertificate of Waiver, Federally qualified health center05D2296367
Related
Questions
What is the CLIA number for Pasadena Plastic Surgery in Pasadena?
05D1103567, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pasadena Plastic Surgery hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1103567 expire?
The CMS file lists August 12, 2027 as the certificate expiration date; the certificate took effect August 13, 2025.