05D2257949 CLIA NUMBER - LUX PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 05D2257949
  • Facility Name: LUX PHARMACY, INC
  • Facility Address: 2107 S SAN PEDRO STREET
    LOS ANGELES, CA
    ZIP 90011
  • Facility Phone: 213 441-7771
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FARBOD SHAHRI
  • NPI Number: 1255008850
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2257949
LAB Type Pharmacy
Facility Name LUX PHARMACY, INC
Street 2107 S SAN PEDRO STREET
City LOS ANGELES
State CA
ZIP 90011
Phone 213 441-7771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Pharmacy
Lab Director FARBOD SHAHRI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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