05D2213346 CLIA NUMBER - ELITE PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2213346
  • Facility Name: ELITE PHARMACY
  • Facility Address: 18155 VENTURA BLVD
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 342-6000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YELEMA GOLDIN
  • NPI Number: 1285144576
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2213346
LAB Type Pharmacy
Facility Name ELITE PHARMACY
Street 18155 VENTURA BLVD
City TARZANA
State CA
ZIP 91356
Phone 818 342-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Pharmacy
Lab Director YELEMA GOLDIN

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