05D2272482 CLIA NUMBER - XPRS RX PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2272482
  • Facility Name: XPRS RX PHARMACY
  • Facility Address: 11205 1/4 NATIONAL BLVD.
    LOS ANGELES, CA
    ZIP 90064
  • Facility Phone: 818 802-3712
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL YAGOUBIAN
  • NPI Number: 1053998690
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2272482
LAB Type Pharmacy
Facility Name XPRS RX PHARMACY
Street 11205 1/4 NATIONAL BLVD.
City LOS ANGELES
State CA
ZIP 90064
Phone 818 802-3712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Pharmacy
Lab Director DANIEL YAGOUBIAN

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