05D2121131 CLIA NUMBER - CAL MED PHARMACY

Laboratory Demographics

CLIA Number: 05D2121131

Facility Name: CAL MED PHARMACY

Facility Address:
24031 MARGUERITE PARKWAY STE A
MISSION VIEJO, CA
ZIP 92692
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Facility Phone Number: 949 586-1700

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1831290840

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D2121131
LAB Type	Pharmacy
Facility Name	CAL MED PHARMACY
Street	24031 MARGUERITE PARKWAY STE A
City	MISSION VIEJO
State	CA
ZIP	92692
Phone	949 586-1700
CertificateType	4
CertificateEffectiveDate	10/31/2022
CertificateExpirationDate	10/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024