05D2056317 CLIA NUMBER - PAVILIONS PHARMACY # 2214

Laboratory Demographics

  • CLIA Code: 05D2056317
  • Facility Name: PAVILIONS PHARMACY # 2214
  • Facility Address: 1110 W. ALAMEDA AVE.
    BURBANK, CA
    ZIP 91506
  • Facility Phone: 818 567-0086
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROL A. DIXON
  • NPI Number: 1831128867
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director CAROL A. DIXON

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