05D2056317 CLIA NUMBER - PAVILIONS PHARMACY # 2214

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Laboratory Demographics

CLIA Number: 05D2056317

Facility Name: PAVILIONS PHARMACY # 2214

Facility Address:
1110 W. ALAMEDA AVE.
BURBANK, CA
ZIP 91506
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Facility Phone Number: (818) 567-0086

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1831128867

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D2056317
LAB Type	PHARMACY
Facility Name	PAVILIONS PHARMACY # 2214
Street	1110 W. ALAMEDA AVE.
City	BURBANK
State	CA
ZIP	91506
Phone	(818) 567-0086

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This page was last updated on: 5/11/2023