05D2222619 CLIA NUMBER - GOLDEN CARE PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2222619
  • Facility Name: GOLDEN CARE PHARMACY
  • Facility Address: 4128 S BROADWAY
    LOS ANGELES, CA
    ZIP 90037
  • Facility Phone: 323 234-4956
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. GENNADY SOSKIN
  • NPI Number: 1508171786
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2222619
LAB Type Pharmacy
Facility Name GOLDEN CARE PHARMACY
Street 4128 S BROADWAY
City LOS ANGELES
State CA
ZIP 90037
Phone 323 234-4956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director DR. GENNADY SOSKIN

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