05D2292745 CLIA NUMBER - GARFIELD BEACH CVS, LLC CVS/PHARMACY #04950

Laboratory Demographics

  • CLIA Code: 05D2292745
  • Facility Name: GARFIELD BEACH CVS, LLC CVS/PHARMACY #04950
  • Facility Address: 3301 ZINFANDEL DR
    RANCHO CORDOVA, CA
    ZIP 95670
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRIET TRAN
  • NPI Number: 1588806665
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2292745
LAB Type Pharmacy
Facility Name GARFIELD BEACH CVS, LLC CVS/PHARMACY #04950
Street 3301 ZINFANDEL DR
City RANCHO CORDOVA
State CA
ZIP 95670
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Pharmacy
Lab Director TRIET TRAN

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