05D2295585 CLIA NUMBER - CVS/PHARMACY #06782

Laboratory Demographics

  • CLIA Code: 05D2295585
  • Facility Name: CVS/PHARMACY #06782
  • Facility Address: 18872 BEACH BLVD
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Facility Phone: 714 378-1452
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY VU
  • NPI Number: 1245338730
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295585
LAB Type Pharmacy
Facility Name CVS/PHARMACY #06782
Street 18872 BEACH BLVD
City HUNTINGTON BEACH
State CA
ZIP 92648
Phone 714 378-1452
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 TIFFANY VU

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