05D2216949 CLIA NUMBER - KOVACS-FREY PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2216949
  • Facility Name: KOVACS-FREY PHARMACY
  • Facility Address: 2860 ARTESIA BLVD
    REDONDO BEACH, CA
    ZIP 90278
  • Facility Phone: 310 371-7541
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARA ATALLAH
  • NPI Number: 1619047826
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2216949
LAB Type Pharmacy
Facility Name KOVACS-FREY PHARMACY
Street 2860 ARTESIA BLVD
City REDONDO BEACH
State CA
ZIP 90278
Phone 310 371-7541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Pharmacy
Lab Director SARA ATALLAH

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