05D2203782 CLIA NUMBER - ROBERTSON SPECIALTY PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2203782
  • Facility Name: ROBERTSON SPECIALTY PHARMACY
  • Facility Address: 1700 S ROBERTSON BLVD
    LOS ANGELES, CA
    ZIP 90035
  • Facility Phone: 424 258-6721
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BABAK EGHBALI
  • NPI Number: 1124415609
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2203782
LAB Type Pharmacy
Facility Name ROBERTSON SPECIALTY PHARMACY
Street 1700 S ROBERTSON BLVD
City LOS ANGELES
State CA
ZIP 90035
Phone 424 258-6721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Pharmacy
Lab Director BABAK EGHBALI

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