05D2198502 CLIA NUMBER - TIB PHARMACY INC

Laboratory Demographics

  • CLIA Code: 05D2198502
  • Facility Name: TIB PHARMACY INC
  • Facility Address: 5886 MOWRY SCHOOL RD
    NEWARK, CA
    ZIP 94560
  • Facility Phone: 510 573-0064
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AROOJ FATIMA
  • NPI Number: 1942828587
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2198502
LAB Type Pharmacy
Facility Name TIB PHARMACY INC
Street 5886 MOWRY SCHOOL RD
City NEWARK
State CA
ZIP 94560
Phone 510 573-0064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Pharmacy
Lab Director AROOJ FATIMA

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