05D2065831 CLIA NUMBER - PAVILIONS PHARMACY # 2203

Laboratory Demographics

  • CLIA Code: 05D2065831
  • Facility Name: PAVILIONS PHARMACY # 2203
  • Facility Address: 5949 E SPRING ST
    LONG BEACH, CA
    ZIP 90808
  • Facility Phone: 562 496-1851
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY CHONG
  • NPI Number: 1902842511
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065831
LAB Type Pharmacy
Facility Name PAVILIONS PHARMACY # 2203
Street 5949 E SPRING ST
City LONG BEACH
State CA
ZIP 90808
Phone 562 496-1851
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Pharmacy
Lab Director TIFFANY CHONG

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