CLIA lab
CLIA 05D2296367: Altamed Medical Group Pasadena Lake
Pasadena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2296367 belongs to Altamed Medical Group Pasadena Lake in Pasadena, CA.
Certificate of Waiver, effective December 27, 2025, expires December 26, 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
- December 27, 2025
- Certificate expiration
- December 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 27, 2023
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 05D2296367
- Lab name
- Altamed Medical Group Pasadena Lake
- Address
- 1595 N Lake Ave, Pasadena, CA 91104
- Phone
- (888) 499-9303
- Fax
- (323) 856-6923
Annual test volume the lab reported
- Waived tests
- 3,000
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 Altamed Medical Group Pasadena Lake in Pasadena?
05D2296367, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Altamed Medical Group Pasadena Lake hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2296367 expire?
The CMS file lists December 26, 2027 as the certificate expiration date; the certificate took effect December 27, 2025.