05D2248810 CLIA NUMBER - PHAST PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2248810
  • Facility Name: PHAST PHARMACY
  • Facility Address: 1121 W COLUMBUS ST
    BAKERSFIELD, CA
    ZIP 93301
  • Facility Phone: 661 578-6500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AYMAN MOHAMED
  • NPI Number: 1093229320
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2248810
LAB Type Pharmacy
Facility Name PHAST PHARMACY
Street 1121 W COLUMBUS ST
City BAKERSFIELD
State CA
ZIP 93301
Phone 661 578-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Pharmacy
Lab Director AYMAN MOHAMED

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