05D2197100 CLIA NUMBER - REGENTS PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2197100
  • Facility Name: REGENTS PHARMACY
  • Facility Address: 6255 UNIVERSITY AVENUE SUITE A1
    SAN DIEGO, CA
    ZIP 92115
  • Facility Phone: 619 436-5571
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN HAN
  • NPI Number: 1538726062
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2197100
LAB Type Pharmacy
Facility Name REGENTS PHARMACY
Street 6255 UNIVERSITY AVENUE SUITE A1
City SAN DIEGO
State CA
ZIP 92115
Phone 619 436-5571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Pharmacy
Lab Director JOHN HAN

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