05D2294858 CLIA NUMBER - GARFIELD BEACH CVS, LLC CVS/PHARMACY #03968

Laboratory Demographics

  • CLIA Code: 05D2294858
  • Facility Name: GARFIELD BEACH CVS, LLC CVS/PHARMACY #03968
  • Facility Address: 816 E MAIN STREET
    ALHAMBRA, CA
    ZIP 91801
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHNATHAN HA
  • NPI Number: 1073611562
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2294858
LAB Type Pharmacy
Facility Name GARFIELD BEACH CVS, LLC CVS/PHARMACY #03968
Street 816 E MAIN STREET
City ALHAMBRA
State CA
ZIP 91801
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 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Pharmacy
Lab Director JOHNATHAN HA

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