05D1069272 CLIA NUMBER - HENDRICKS PHARMACY

Laboratory Demographics

  • CLIA Code: 05D1069272
  • Facility Name: HENDRICKS PHARMACY
  • Facility Address: 137 N HARVARD AVE
    CLAREMONT, CA
    ZIP 91711
  • Facility Phone: 909 624-1611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN T. GARNER
  • NPI Number: 1467467092
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1069272
LAB Type Pharmacy
Facility Name HENDRICKS PHARMACY
Street 137 N HARVARD AVE
City CLAREMONT
State CA
ZIP 91711
Phone 909 624-1611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Pharmacy
Lab Director BRIAN T. GARNER

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