05D2294595 CLIA NUMBER - CVS/PHARMACY # 07786

Laboratory Demographics

  • CLIA Code: 05D2294595
  • Facility Name: CVS/PHARMACY # 07786
  • Facility Address: 27749 CLINTON KEITH ROAD
    MURRIETA, CA
    ZIP 92562
  • Facility Phone: 951 304-3479
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AWS NASSIR
  • NPI Number: 1770525974
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2294595
LAB Type Pharmacy
Facility Name CVS/PHARMACY # 07786
Street 27749 CLINTON KEITH ROAD
City MURRIETA
State CA
ZIP 92562
Phone 951 304-3479
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Pharmacy
Lab Director AWS NASSIR

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This page was last updated on: 3/20/2025