05D2064913 CLIA NUMBER - PAVILIONS PHARMACY # 2101

Laboratory Demographics

  • CLIA Code: 05D2064913
  • Facility Name: PAVILIONS PHARMACY # 2101
  • Facility Address: 1046 COAST VILLAGE RD STE B
    MONTECITO, CA
    ZIP 93108
  • Facility Phone: 805 969-4728
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER B. GREGORY PIC
  • NPI Number: 1073542098
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2064913
LAB Type Pharmacy
Facility Name PAVILIONS PHARMACY # 2101
Street 1046 COAST VILLAGE RD STE B
City MONTECITO
State CA
ZIP 93108
Phone 805 969-4728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER B. GREGORY PIC

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