05D2295862 CLIA NUMBER - 986 PHARMACY #8015

Laboratory Demographics

  • CLIA Code: 05D2295862
  • Facility Name: 986 PHARMACY #8015
  • Facility Address: 14332 RAMONA BLVD
    BALDWIN PARK, CA
    ZIP 91706
  • Facility Phone: 626 337-1510
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON SAINZ
  • NPI Number: 1609938331
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295862
LAB Type Pharmacy
Facility Name 986 PHARMACY #8015
Street 14332 RAMONA BLVD
City BALDWIN PARK
State CA
ZIP 91706
Phone 626 337-1510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Pharmacy
Lab Director BRANDON SAINZ

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