05D2262907 CLIA NUMBER - DUET PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2262907
  • Facility Name: DUET PHARMACY
  • Facility Address: 400 INDUSTRIAL RD
    SAN CARLOS, CA
    ZIP 94070
  • Facility Phone: 650 412-4545
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MALLORY IGNACIO
  • NPI Number: 1952066854
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2262907
LAB Type Pharmacy
Facility Name DUET PHARMACY
Street 400 INDUSTRIAL RD
City SAN CARLOS
State CA
ZIP 94070
Phone 650 412-4545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Pharmacy
Lab Director MALLORY IGNACIO

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