05D2121497 CLIA NUMBER - ELEMENTS PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2121497
  • Facility Name: ELEMENTS PHARMACY
  • Facility Address: 12602 VENTURA BLVD
    STUDIO CITY, CA
    ZIP 91604
  • Facility Phone: 818 762-2055
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: QUYNH H. BORKENHAGEN
  • NPI Number: 1952758781
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2121497
LAB Type Pharmacy
Facility Name ELEMENTS PHARMACY
Street 12602 VENTURA BLVD
City STUDIO CITY
State CA
ZIP 91604
Phone 818 762-2055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Pharmacy
Lab Director QUYNH H. BORKENHAGEN

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