05D2225062 CLIA NUMBER - SANTEE COMMUNITY PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2225062
  • Facility Name: SANTEE COMMUNITY PHARMACY
  • Facility Address: 9836 MAGNOLIA AVE
    SANTEE, CA
    ZIP 92071
  • Facility Phone: 619 777-1000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAWKI M. BACHOUA
  • NPI Number: 1962975920
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2225062
LAB Type Pharmacy
Facility Name SANTEE COMMUNITY PHARMACY
Street 9836 MAGNOLIA AVE
City SANTEE
State CA
ZIP 92071
Phone 619 777-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director SHAWKI M. BACHOUA

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