05D2136267 CLIA NUMBER - LOS ANGELES BIOMEDICAL RESEARCH INSTITUTE AT HARBOR UCLA

Laboratory Demographics

CLIA Number: 05D2136267

Facility Name: LOS ANGELES BIOMEDICAL RESEARCH INSTITUTE AT HARBOR UCLA

Facility Address:
1124 W. CARSON ST RB-3 RM 146
TORRANCE, CA
ZIP 90502
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Facility Phone Number: 310 222-2415

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1205950524

Taxonomy: 3336C0002X - Pharmacy
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

CLIA Record

Field Name	Field Value
CLIA Number	05D2136267
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	LOS ANGELES BIOMEDICAL RESEARCH INSTITUTE AT HARBOR UCLA
Street	1124 W. CARSON ST RB-3 RM 146
City	TORRANCE
State	CA
ZIP	90502
Phone	310 222-2415
CertificateType	4
CertificateEffectiveDate	9/6/2023
CertificateExpirationDate	9/5/2025
FacilityType	Waiver

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