05D2207084 CLIA NUMBER - THE PRESCRIPTION SHOP

Laboratory Demographics

  • CLIA Code: 05D2207084
  • Facility Name: THE PRESCRIPTION SHOP
  • Facility Address: 1215 WEST WHITTIER BLVD
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 728-8127
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHUSHMA PATEL
  • NPI Number: 1245309962
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2207084
LAB Type Pharmacy
Facility Name THE PRESCRIPTION SHOP
Street 1215 WEST WHITTIER BLVD
City MONTEBELLO
State CA
ZIP 90640
Phone 323 728-8127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Pharmacy
Lab Director SHUSHMA PATEL

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