05D2239549 CLIA NUMBER - CENTRAL AVE PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2239549
  • Facility Name: CENTRAL AVE PHARMACY
  • Facility Address: 119 W CALIFORNIA AVE
    GLENDALE, CA
    ZIP 91203
  • Facility Phone: 818 242-8838
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YOUSEFIAN HRACH
  • NPI Number: 1023142734
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2239549
LAB Type Pharmacy
Facility Name CENTRAL AVE PHARMACY
Street 119 W CALIFORNIA AVE
City GLENDALE
State CA
ZIP 91203
Phone 818 242-8838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director YOUSEFIAN HRACH

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