05D2241351 CLIA NUMBER - JURUPA VALLEY PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2241351
  • Facility Name: JURUPA VALLEY PHARMACY
  • Facility Address: 7830 - 7832 LIMONITE AVE
    JURUPA VALLEY, CA
    ZIP 92509
  • Facility Phone: 951 332-2235
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EKTA PATEL
  • NPI Number: 1225374564
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2241351
LAB Type Pharmacy
Facility Name JURUPA VALLEY PHARMACY
Street 7830 - 7832 LIMONITE AVE
City JURUPA VALLEY
State CA
ZIP 92509
Phone 951 332-2235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Pharmacy
Lab Director EKTA PATEL

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