05D2258533 CLIA NUMBER - BJRX PHARMACY LTC

Laboratory Demographics

  • CLIA Code: 05D2258533
  • Facility Name: BJRX PHARMACY LTC
  • Facility Address: 1801 E MARCH LN, STE B-270
    STOCKTON, CA
    ZIP 95210
  • Facility Phone: 209 395-0555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRATAP ANNE
  • NPI Number: 1487891438
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2258533
LAB Type Pharmacy
Facility Name BJRX PHARMACY LTC
Street 1801 E MARCH LN, STE B-270
City STOCKTON
State CA
ZIP 95210
Phone 209 395-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Pharmacy
Lab Director PRATAP ANNE

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