05D2191797 CLIA NUMBER - ANDERSONRX

Laboratory Demographics

  • CLIA Code: 05D2191797
  • Facility Name: ANDERSONRX
  • Facility Address: 2940 EAST ST
    ANDERSON, CA
    ZIP 96007
  • Facility Phone: 530 378-5566
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHERRY BORCHERT
  • NPI Number: 1164036596
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2191797
LAB Type Pharmacy
Facility Name ANDERSONRX
Street 2940 EAST ST
City ANDERSON
State CA
ZIP 96007
Phone 530 378-5566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Pharmacy
Lab Director SHERRY BORCHERT

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