05D2185553 CLIA NUMBER - TORRANCE PHARMACY & COMPOUNDING CENTER

Laboratory Demographics

  • CLIA Code: 05D2185553
  • Facility Name: TORRANCE PHARMACY & COMPOUNDING CENTER
  • Facility Address: 23600 TELO AVENUE SUITE 155
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 424 250-1701
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMIR TABATABAI
  • NPI Number: 1164702122
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2185553
LAB Type Pharmacy
Facility Name TORRANCE PHARMACY & COMPOUNDING CENTER
Street 23600 TELO AVENUE SUITE 155
City TORRANCE
State CA
ZIP 90505
Phone 424 250-1701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Pharmacy
Lab Director AMIR TABATABAI

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