05D2065947 CLIA NUMBER - PAVILIONS PHARMACY #2215

Laboratory Demographics

  • CLIA Code: 05D2065947
  • Facility Name: PAVILIONS PHARMACY #2215
  • Facility Address: 1135 LINDERO CANYON RD
    THOUSAND OAKS, CA
    ZIP 91362
  • Facility Phone: 818 597-1370
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD JONES
  • NPI Number: 1972534774
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065947
LAB Type Pharmacy
Facility Name PAVILIONS PHARMACY #2215
Street 1135 LINDERO CANYON RD
City THOUSAND OAKS
State CA
ZIP 91362
Phone 818 597-1370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director RICHARD JONES

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