05D2172636 CLIA NUMBER - WOORI PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2172636
  • Facility Name: WOORI PHARMACY
  • Facility Address: 266 SOUTH HARVARD BOULEVARD 120
    LOS ANGELES, CA
    ZIP 90004
  • Facility Phone: 213 384-6323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANG LEE
  • NPI Number: 1356569404
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2172636
LAB Type Pharmacy
Facility Name WOORI PHARMACY
Street 266 SOUTH HARVARD BOULEVARD 120
City LOS ANGELES
State CA
ZIP 90004
Phone 213 384-6323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Pharmacy
Lab Director SANG LEE

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