CLIA lab

CLIA 05D2009292: Pasadena Surgery Center Inc

Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2009292 belongs to Pasadena Surgery Center Inc in Pasadena, CA.

Certificate of Waiver, effective June 30, 2026, expires June 29, 2028.

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 30, 2026
Certificate expiration
June 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 30, 2010
Facility type
Ambulance
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
05D2009292
Lab name
Pasadena Surgery Center Inc
Address
1035 S Fairoaks Ave Ste 101, Pasadena, CA 91105
Phone
(626) 696-1455
Fax
(626) 696-1451

Annual test volume the lab reported

Waived tests
125

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Pasadena, CA

Related

Questions

What is the CLIA number for Pasadena Surgery Center Inc in Pasadena?

05D2009292, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pasadena Surgery Center Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2009292 expire?

The CMS file lists June 29, 2028 as the certificate expiration date; the certificate took effect June 30, 2026.

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