05D2244728 CLIA NUMBER - SHARP CORONADO COMMUNITY PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2244728
  • Facility Name: SHARP CORONADO COMMUNITY PHARMACY
  • Facility Address: 230 PROSPECT PLACE NO 110
    CORONADO, CA
    ZIP 92118
  • Facility Phone: 619 522-3916
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FELICIA I. VILLAROMAN
  • NPI Number: 1013479476
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2244728
LAB Type Pharmacy
Facility Name SHARP CORONADO COMMUNITY PHARMACY
Street 230 PROSPECT PLACE NO 110
City CORONADO
State CA
ZIP 92118
Phone 619 522-3916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Pharmacy
Lab Director FELICIA I. VILLAROMAN

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