05D2188941 CLIA NUMBER - MEDICAL PLAZA PHARMACY

Laboratory Demographics

CLIA Number: 05D2188941

Facility Name: MEDICAL PLAZA PHARMACY

Facility Address:
1700 N ROSE AVE STE 140
OXNARD, CA
ZIP 93030
Get Directions

Facility Phone Number: 805 981-3366

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912068917

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D2188941
LAB Type	Pharmacy
Facility Name	MEDICAL PLAZA PHARMACY
Street	1700 N ROSE AVE STE 140
City	OXNARD
State	CA
ZIP	93030
Phone	805 981-3366
CertificateType	4
CertificateEffectiveDate	7/23/2022
CertificateExpirationDate	7/22/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024