05D2065035 CLIA NUMBER - PAVILIONS PHARMACY # 2739

Laboratory Demographics

  • CLIA Code: 05D2065035
  • Facility Name: PAVILIONS PHARMACY # 2739
  • Facility Address: 8969 SANTA MONICA BLVD.
    WEST HOLLYWOOD, CA
    ZIP 90069
  • Facility Phone: 310 273-5126
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA HUANG
  • NPI Number: 1992741508
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065035
LAB Type Pharmacy
Facility Name PAVILIONS PHARMACY # 2739
Street 8969 SANTA MONICA BLVD.
City WEST HOLLYWOOD
State CA
ZIP 90069
Phone 310 273-5126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Pharmacy
Lab Director LISA HUANG

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