05D2200044 CLIA NUMBER - ARDEN MEDICAL PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2200044
  • Facility Name: ARDEN MEDICAL PHARMACY
  • Facility Address: 435 W ARDEN AVE #110
    GLENDALE, CA
    ZIP 91203
  • Facility Phone: 818 247-1842
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAMBIZ FARZAMDOOST
  • NPI Number: 1073676730
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2200044
LAB Type Pharmacy
Facility Name ARDEN MEDICAL PHARMACY
Street 435 W ARDEN AVE #110
City GLENDALE
State CA
ZIP 91203
Phone 818 247-1842
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Pharmacy
Lab Director KAMBIZ FARZAMDOOST

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