05D2229893 CLIA NUMBER - JC NEIGHBORHOOD PHARMACY

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CLIA Record

Field Name Field Value
CLIA Number 05D2229893
LAB Type Pharmacy
Facility Name JC NEIGHBORHOOD PHARMACY
Street 770 MAGNOLIA AVENUE STE 1G
City CORONA
State CA
ZIP 92879
Phone 951 531-8041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Pharmacy
Lab Director JACQUELINE IBRAHIM

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