05D2177329 CLIA NUMBER - DESERT PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2177329
  • Facility Name: DESERT PHARMACY
  • Facility Address: 1560 SOUTH IMPERIAL AVE
    EL CENTRO, CA
    ZIP 92243
  • Facility Phone: 760 997-7800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN P. TEAGUE
  • NPI Number: 1053826792
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2177329
LAB Type Pharmacy
Facility Name DESERT PHARMACY
Street 1560 SOUTH IMPERIAL AVE
City EL CENTRO
State CA
ZIP 92243
Phone 760 997-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Pharmacy
Lab Director JOHN P. TEAGUE

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