05D2191119 CLIA NUMBER - LORENA PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2191119
  • Facility Name: LORENA PHARMACY
  • Facility Address: 3400 WHITTER BLD
    LOS ANGELES, CA
    ZIP 90023
  • Facility Phone: 323 268-3384
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN BALL
  • NPI Number: 1073625067
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2191119
LAB Type Pharmacy
Facility Name LORENA PHARMACY
Street 3400 WHITTER BLD
City LOS ANGELES
State CA
ZIP 90023
Phone 323 268-3384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Pharmacy
Lab Director JOHN BALL

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This page was last updated on: 3/20/2025