05D2187540 CLIA NUMBER - VALLEY PRESCRIPTION & COMPOUNDING PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2187540
  • Facility Name: VALLEY PRESCRIPTION & COMPOUNDING PHARMACY
  • Facility Address: 330 EAST 113TH STREET
    MERCED, CA
    ZIP 95341
  • Facility Phone: 209 722-5765
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLIE KANO
  • NPI Number: 1093871980
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2187540
LAB Type Pharmacy
Facility Name VALLEY PRESCRIPTION & COMPOUNDING PHARMACY
Street 330 EAST 113TH STREET
City MERCED
State CA
ZIP 95341
Phone 209 722-5765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Pharmacy
Lab Director CHARLIE KANO

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