05D2056318 CLIA NUMBER - PAVILIONS PHARMACY #2233

Laboratory Demographics

  • CLIA Code: 05D2056318
  • Facility Name: PAVILIONS PHARMACY #2233
  • Facility Address: 7 PENINSULA CENTER
    ROLLING HILLS ESTATES, CA
    ZIP 90274
  • Facility Phone: 310 541-1915
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE D. NGUYEN
  • NPI Number: 1124064746
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2056318
LAB Type Pharmacy
Facility Name PAVILIONS PHARMACY #2233
Street 7 PENINSULA CENTER
City ROLLING HILLS ESTATES
State CA
ZIP 90274
Phone 310 541-1915
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 NICOLE D. NGUYEN

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