05D2295584 CLIA NUMBER - GARDIELD BEACH CVS, LLC CVS/PHARMACY #06768

Laboratory Demographics

  • CLIA Code: 05D2295584
  • Facility Name: GARDIELD BEACH CVS, LLC CVS/PHARMACY #06768
  • Facility Address: 15333 CULVER DR SUITE 300
    POWAY, CA
    ZIP 92064
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTORIA NGUYEN
  • NPI Number: 1679945612
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 05D2295584
LAB Type Pharmacy
Facility Name GARDIELD BEACH CVS, LLC CVS/PHARMACY #06768
Street 15333 CULVER DR SUITE 300
City POWAY
State CA
ZIP 92064
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 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director VICTORIA NGUYEN

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