05D2276195 CLIA NUMBER - PACIFIC MEDICAL PHARMACY #3

Laboratory Demographics

  • CLIA Code: 05D2276195
  • Facility Name: PACIFIC MEDICAL PHARMACY #3
  • Facility Address: 6624 FOOTHILL BLVD
    TUJUNGA, CA
    ZIP 91042
  • Facility Phone: 818 875-4053
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARTHUR K. HAGOPIAN
  • NPI Number: 1184387615
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2276195
LAB Type Pharmacy
Facility Name PACIFIC MEDICAL PHARMACY #3
Street 6624 FOOTHILL BLVD
City TUJUNGA
State CA
ZIP 91042
Phone 818 875-4053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Pharmacy
Lab Director ARTHUR K. HAGOPIAN

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