05D2186590 CLIA NUMBER - DORAN PHARMACY INC

Laboratory Demographics

  • CLIA Code: 05D2186590
  • Facility Name: DORAN PHARMACY INC
  • Facility Address: 525 NORTH GLENDALE AVE
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 818 291-4099
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUSANNA KESHISHIAN
  • NPI Number: 1376955781
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2186590
LAB Type Pharmacy
Facility Name DORAN PHARMACY INC
Street 525 NORTH GLENDALE AVE
City GLENDALE
State CA
ZIP 91206
Phone 818 291-4099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Pharmacy
Lab Director SUSANNA KESHISHIAN

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