05D2060268 CLIA NUMBER - PAVILIONS PHARMACY #2210

Laboratory Demographics

  • CLIA Code: 05D2060268
  • Facility Name: PAVILIONS PHARMACY #2210
  • Facility Address: 26022 MARGUERITE PKWY
    MISSION VIEJO, CA
    ZIP 92692
  • Facility Phone: 949 582-3294
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINE D. PHAM
  • NPI Number: 1972532927
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2060268
LAB Type Pharmacy
Facility Name PAVILIONS PHARMACY #2210
Street 26022 MARGUERITE PKWY
City MISSION VIEJO
State CA
ZIP 92692
Phone 949 582-3294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Pharmacy
Lab Director CHRISTINE D. PHAM

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