05D2288852 CLIA NUMBER - CRYSTAL MEDICAL CENTER PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2288852
  • Facility Name: CRYSTAL MEDICAL CENTER PHARMACY
  • Facility Address: 2809 OLIVE HIGHWAY SUITE 160
    OROVILLE, CA
    ZIP 95966
  • Facility Phone: 530 533-1545
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HARISH R. ODEDRA
  • NPI Number: 1174677827
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2288852
LAB Type Pharmacy
Facility Name CRYSTAL MEDICAL CENTER PHARMACY
Street 2809 OLIVE HIGHWAY SUITE 160
City OROVILLE
State CA
ZIP 95966
Phone 530 533-1545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Pharmacy
Lab Director HARISH R. ODEDRA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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