05D2148260 CLIA NUMBER - MEDI-EX PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2148260
  • Facility Name: MEDI-EX PHARMACY
  • Facility Address: 1067 N STATE COLLEGE BLVD
    ANAHEIM, CA
    ZIP 92806
  • Facility Phone: 714 888-4867
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHUONG Y. TRAN
  • NPI Number: 1245739028
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2148260
LAB Type Pharmacy
Facility Name MEDI-EX PHARMACY
Street 1067 N STATE COLLEGE BLVD
City ANAHEIM
State CA
ZIP 92806
Phone 714 888-4867
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Pharmacy
Lab Director PHUONG Y. TRAN

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