05D2140242 CLIA NUMBER - THE MEDICINE SHOPPE #387

Laboratory Demographics

  • CLIA Code: 05D2140242
  • Facility Name: THE MEDICINE SHOPPE #387
  • Facility Address: 2611 E. THOMPSON BLVD STE 103
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 648-2724
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILL A. BELL
  • NPI Number: 1700958584
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2140242
LAB Type Pharmacy
Facility Name THE MEDICINE SHOPPE #387
Street 2611 E. THOMPSON BLVD STE 103
City VENTURA
State CA
ZIP 93003
Phone 805 648-2724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Pharmacy
Lab Director JILL A. BELL

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This page was last updated on: 3/20/2025