05D2291217 CLIA NUMBER - EDDIE'S PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2291217
  • Facility Name: EDDIE'S PHARMACY
  • Facility Address: 8408 BEVERLY BLVD
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 310 358-2400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID KATTAN
  • NPI Number: 1619217544
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2291217
LAB Type Pharmacy
Facility Name EDDIE'S PHARMACY
Street 8408 BEVERLY BLVD
City LOS ANGELES
State CA
ZIP 90048
Phone 310 358-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Pharmacy
Lab Director DAVID KATTAN

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