05D2279771 CLIA NUMBER - ST, MARY'S PHARMACY, INC. DBA MEMBER OF THE MEDICINE

Laboratory Demographics

  • CLIA Code: 05D2279771
  • Facility Name: ST, MARY'S PHARMACY, INC. DBA MEMBER OF THE MEDICINE
  • Facility Address: 3150 E SHIELDS AVE SUITE 105
    FRESNO, CA
    ZIP 93724
  • Facility Phone: 559 223-9090
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON A. SCHROER
  • NPI Number: 1073220752
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2279771
LAB Type Pharmacy
Facility Name ST, MARY'S PHARMACY, INC. DBA MEMBER OF THE MEDICINE
Street 3150 E SHIELDS AVE SUITE 105
City FRESNO
State CA
ZIP 93724
Phone 559 223-9090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Pharmacy
Lab Director JASON A. SCHROER

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