05D2292203 CLIA NUMBER - GARFIELD BEACH CVS, LLC CVS/PHARMACY #10223

Laboratory Demographics

  • CLIA Code: 05D2292203
  • Facility Name: GARFIELD BEACH CVS, LLC CVS/PHARMACY #10223
  • Facility Address: 1151 SOUTH HARBOR BLVD
    LA HABRA, CA
    ZIP 90631
  • Facility Phone: 714 773-0841
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GRACE ROH
  • NPI Number: 1477977916
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2292203
LAB Type Pharmacy
Facility Name GARFIELD BEACH CVS, LLC CVS/PHARMACY #10223
Street 1151 SOUTH HARBOR BLVD
City LA HABRA
State CA
ZIP 90631
Phone 714 773-0841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Pharmacy
Lab Director GRACE ROH

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