05D2016712 CLIA NUMBER - CLINICARE PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2016712
  • Facility Name: CLINICARE PHARMACY
  • Facility Address: 9245 RESEDA BOULEVARD
    NORTHRIDGE, CA
    ZIP 91324
  • Facility Phone: 818 727-7234
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANRIET MINASIAN
  • NPI Number: 1164465373
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2016712
LAB Type Pharmacy
Facility Name CLINICARE PHARMACY
Street 9245 RESEDA BOULEVARD
City NORTHRIDGE
State CA
ZIP 91324
Phone 818 727-7234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Pharmacy
Lab Director HANRIET MINASIAN

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