05D2188706 CLIA NUMBER - 986 SPECIALTY PHARMACY PASADENA INC

Laboratory Demographics

  • CLIA Code: 05D2188706
  • Facility Name: 986 SPECIALTY PHARMACY PASADENA INC
  • Facility Address: 1719 E WALNUT ST
    PASADENA, CA
    ZIP 91106
  • Facility Phone: 626 798-6789
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARRETT OW
  • NPI Number: 1770193641
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2188706
LAB Type Pharmacy
Facility Name 986 SPECIALTY PHARMACY PASADENA INC
Street 1719 E WALNUT ST
City PASADENA
State CA
ZIP 91106
Phone 626 798-6789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Pharmacy
Lab Director GARRETT OW

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