05D2136540 CLIA NUMBER - AMERIPHARMA

Laboratory Demographics

CLIA Number: 05D2136540

Facility Name: AMERIPHARMA

Facility Address:
132 S ANITA DR
ORANGE, CA
ZIP 92868
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Facility Phone Number: 877 778-3773

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1336170679

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	05D2136540
LAB Type	Pharmacy
Facility Name	AMERIPHARMA
Street	132 S ANITA DR
City	ORANGE
State	CA
ZIP	92868
Phone	877 778-3773
CertificateType	4
CertificateEffectiveDate	9/12/2023
CertificateExpirationDate	9/11/2025
FacilityType	Waiver

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