05D2215728 CLIA NUMBER - OLYMPIA PLAZA PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2215728
  • Facility Name: OLYMPIA PLAZA PHARMACY
  • Facility Address: 5901 W OLYMPIC BLVD SUITE 103
    LOS ANGELES, CA
    ZIP 90036
  • Facility Phone: 323 937-2590
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMIL BOROKHOVICH
  • NPI Number: 1477615003
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2215728
LAB Type Pharmacy
Facility Name OLYMPIA PLAZA PHARMACY
Street 5901 W OLYMPIC BLVD SUITE 103
City LOS ANGELES
State CA
ZIP 90036
Phone 323 937-2590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Pharmacy
Lab Director EMIL BOROKHOVICH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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