05D2268982 CLIA NUMBER - VALU-RX INC DBA SHANGOO RX

Laboratory Demographics

  • CLIA Code: 05D2268982
  • Facility Name: VALU-RX INC DBA SHANGOO RX
  • Facility Address: 5525 ETIWANDA AVE STE 100
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 996-9906
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL MOCADAM
  • NPI Number: 1629116819
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 05D2268982
LAB Type Pharmacy
Facility Name VALU-RX INC DBA SHANGOO RX
Street 5525 ETIWANDA AVE STE 100
City TARZANA
State CA
ZIP 91356
Phone 818 996-9906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Pharmacy
Lab Director MICHAEL MOCADAM

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