05D2057830 CLIA NUMBER - Pavilions Pharmacy 1911

Laboratory Demographics

CLIA Number: 05D2057830

Facility Name: Pavilions Pharmacy 1911

Facility Address:
21181 Newport Coast Dr,
Newport Coast, CA
ZIP 92657
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Facility Phone Number: (949) 718-4986

Facility Type: PRISON

Certificate Type: Waiver

NPI Number: 1396781167

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 05D2057830
LAB Type PRISON
Facility Name Pavilions Pharmacy 1911
Street 21181 Newport Coast Dr,
City Newport Coast
State CA
ZIP 92657
Phone 9497184986

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This page was last updated on: 5/19/2019