05D1067915 CLIA NUMBER - PAVILIONS PHARMACY #2089

Laboratory Demographics

  • CLIA Code: 05D1067915
  • Facility Name: PAVILIONS PHARMACY #2089
  • Facility Address: 600 NORTH COAST HWY
    LAGUNA BEACH, CA
    ZIP 92651
  • Facility Phone: 949 376-3383
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY CHOW, RPH
  • NPI Number: 1679502603
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1067915
LAB Type Pharmacy
Facility Name PAVILIONS PHARMACY #2089
Street 600 NORTH COAST HWY
City LAGUNA BEACH
State CA
ZIP 92651
Phone 949 376-3383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director TIFFANY CHOW, RPH

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This page was last updated on: 9/29/2025