05D2185554 CLIA NUMBER - BURT'S PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2185554
  • Facility Name: BURT'S PHARMACY
  • Facility Address: 2333 BORCHARD ROAD
    NEWBURY PARK, CA
    ZIP 91320
  • Facility Phone: 805 498-6675
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT T. LEARK
  • NPI Number: 1114435583
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2185554
LAB Type Pharmacy
Facility Name BURT'S PHARMACY
Street 2333 BORCHARD ROAD
City NEWBURY PARK
State CA
ZIP 91320
Phone 805 498-6675
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 ROBERT T. LEARK

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