CLIA lab
CLIA 05D2066469: Theodore B. Pastrana JR, MD
La Habra, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2066469 belongs to Theodore B. Pastrana JR, MD in La Habra, CA.
Certificate of Waiver, effective September 26, 2025, expires September 25, 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
- September 26, 2025
- Certificate expiration
- September 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 26, 2013
- 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
- 05D2066469
- Lab name
- Theodore B. Pastrana JR, MD
- Address
- 1480 S Harbor Blvd Ste 16, La Habra, CA 90631
- Phone
- (714) 525-4185
- Fax
- (714) 525-7321
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Beneficial Home Health Services, IncCertificate of Waiver, Home health agency05D2296982
- Bi-Rite Quality PharmaciesCertificate of Waiver, Pharmacy05D2069155
- Bonita Hills Post AcuteCertificate of Waiver, Skilled nursing or nursing facility05D0551975
- Carbon Health Medical Group ofCertificate of Waiver, Physician office05D2082148
- Caremore Medical Group IncCertificate of Waiver, Physician office05D1010549
- Friends of Family Health CenterCertificate of Waiver, Community clinic05D0951686
- Lakeside Hospice Care IncCertificate of Waiver, Hospice05D2101194
- Lifesavers Home Health Services IncCertificate of Waiver, Home health agency05D1039829
- Mobile Health ProvidersCertificate of Waiver, Physician office05D2219531
- Mve Home Health Care LLCCertificate of Waiver, Home health agency05D2323943
Related
Questions
What is the CLIA number for Theodore B. Pastrana JR, MD in La Habra?
05D2066469, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Theodore B. Pastrana JR, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2066469 expire?
The CMS file lists September 25, 2027 as the certificate expiration date; the certificate took effect September 26, 2025.