05D2154349 CLIA NUMBER - INLAND PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2154349
  • Facility Name: INLAND PHARMACY
  • Facility Address: 1001 E LATHAM AVE SUITE P
    HEMET, CA
    ZIP 92543
  • Facility Phone: 951 658-7111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRUNO T. TCHING
  • NPI Number: 1235642125
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2154349
LAB Type Pharmacy
Facility Name INLAND PHARMACY
Street 1001 E LATHAM AVE SUITE P
City HEMET
State CA
ZIP 92543
Phone 951 658-7111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Pharmacy
Lab Director BRUNO T. TCHING

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