05D2216804 CLIA NUMBER - ABC PHARMACY

Laboratory Demographics

CLIA Number: 05D2216804

Facility Name: ABC PHARMACY

Facility Address:
2920 E INLAND EMPIRE #112
ONTARIO, CA
ZIP 91764
Get Directions

Facility Phone Number: 909 291-3800

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023493244

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D2216804
LAB Type	Pharmacy
Facility Name	ABC PHARMACY
Street	2920 E INLAND EMPIRE #112
City	ONTARIO
State	CA
ZIP	91764
Phone	909 291-3800
CertificateType	4
CertificateEffectiveDate	3/16/2023
CertificateExpirationDate	3/15/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024