05D2296399 CLIA NUMBER - 986 PHARMACY #8013

Laboratory Demographics

  • CLIA Code: 05D2296399
  • Facility Name: 986 PHARMACY #8013
  • Facility Address: 103 N GARFIELD AVE #D
    ALHAMBRA, CA
    ZIP 91801
  • Facility Phone: 626 576-0890
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LILIA XU
  • NPI Number: 1215031265
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2296399
LAB Type Pharmacy
Facility Name 986 PHARMACY #8013
Street 103 N GARFIELD AVE #D
City ALHAMBRA
State CA
ZIP 91801
Phone 626 576-0890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Pharmacy
Lab Director LILIA XU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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