05D2205992 CLIA NUMBER - DOCTORS CHOICE PHARMACY DBA DOCTORS CHOICE PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2205992
  • Facility Name: DOCTORS CHOICE PHARMACY DBA DOCTORS CHOICE PHARMACY
  • Facility Address: 639 NORTH 13TH AVE
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 532-5588
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PURVA PATEL PIC
  • NPI Number: 1376989012
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2205992
LAB Type Pharmacy
Facility Name DOCTORS CHOICE PHARMACY DBA DOCTORS CHOICE PHARMACY
Street 639 NORTH 13TH AVE
City UPLAND
State CA
ZIP 91786
Phone 909 532-5588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director PURVA PATEL PIC

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