05D2213088 CLIA NUMBER - EASTLAND PHARMACY DBA GRACE HEALTH, INC

Laboratory Demographics

  • CLIA Code: 05D2213088
  • Facility Name: EASTLAND PHARMACY DBA GRACE HEALTH, INC
  • Facility Address: 18339 COLIMA RD STE A
    ROWLAND HEIGHTS, CA
    ZIP 91748
  • Facility Phone: 626 810-1056
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE KIM
  • NPI Number: 1427337179
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2213088
LAB Type Pharmacy
Facility Name EASTLAND PHARMACY DBA GRACE HEALTH, INC
Street 18339 COLIMA RD STE A
City ROWLAND HEIGHTS
State CA
ZIP 91748
Phone 626 810-1056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Pharmacy
Lab Director DANIELLE KIM

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