05D1068088 CLIA NUMBER - PAVILIONS PHARMACY #2508

Laboratory Demographics

  • CLIA Code: 05D1068088
  • Facility Name: PAVILIONS PHARMACY #2508
  • Facility Address: 27320 ALICIA PARKWAY
    LAGUNA NIGUEL, CA
    ZIP 92677
  • Facility Phone: 949 448-9537
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOWARD G. SANETO, PIC
  • NPI Number: 1861438491
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1068088
LAB Type Pharmacy
Facility Name PAVILIONS PHARMACY #2508
Street 27320 ALICIA PARKWAY
City LAGUNA NIGUEL
State CA
ZIP 92677
Phone 949 448-9537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Pharmacy
Lab Director HOWARD G. SANETO, PIC

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