05D2293451 CLIA NUMBER - GARFIELD BEACH CVS, LLC CVS/PHARMACY #05012

Laboratory Demographics

  • CLIA Code: 05D2293451
  • Facility Name: GARFIELD BEACH CVS, LLC CVS/PHARMACY #05012
  • Facility Address: 23806 MAIN STREET
    CARSON, CA
    ZIP 90745
  • Facility Phone: 310 952-6640
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GRACE KIM
  • NPI Number: 1992803480
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2293451
LAB Type Pharmacy
Facility Name GARFIELD BEACH CVS, LLC CVS/PHARMACY #05012
Street 23806 MAIN STREET
City CARSON
State CA
ZIP 90745
Phone 310 952-6640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Pharmacy
Lab Director GRACE KIM

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