05D2273994 CLIA NUMBER - CHINO PLAZA PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2273994
  • Facility Name: CHINO PLAZA PHARMACY
  • Facility Address: 5562 PHILADELPHIA ST STE 110
    CHINO, CA
    ZIP 91710
  • Facility Phone: 909 464-0300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAY KIM
  • NPI Number: 1629502554
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2273994
LAB Type Pharmacy
Facility Name CHINO PLAZA PHARMACY
Street 5562 PHILADELPHIA ST STE 110
City CHINO
State CA
ZIP 91710
Phone 909 464-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Pharmacy
Lab Director JAY KIM

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