05D2299569 CLIA NUMBER - GARFIELD BEACH CVS, LLC CVS PHARMACY # 09562

Laboratory Demographics

  • CLIA Code: 05D2299569
  • Facility Name: GARFIELD BEACH CVS, LLC CVS PHARMACY # 09562
  • Facility Address: 3981 IRVINE BLVD
    IRVINE, CA
    ZIP 92602
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIMITZ KITONGNAN
  • NPI Number: 1689616880
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2299569
LAB Type Pharmacy
Facility Name GARFIELD BEACH CVS, LLC CVS PHARMACY # 09562
Street 3981 IRVINE BLVD
City IRVINE
State CA
ZIP 92602
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 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Pharmacy
Lab Director NIMITZ KITONGNAN

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