05D2304264 CLIA NUMBER - FLORENCE PHARMACY AND MEDICAL SUPPLY

Laboratory Demographics

  • CLIA Code: 05D2304264
  • Facility Name: FLORENCE PHARMACY AND MEDICAL SUPPLY
  • Facility Address: 1422 E FLORENCE AVE
    LOS ANGELES, CA
    ZIP 90001
  • Facility Phone: 323 277-9500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEROME F. MO
  • NPI Number: 1235462490
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2304264
LAB Type Pharmacy
Facility Name FLORENCE PHARMACY AND MEDICAL SUPPLY
Street 1422 E FLORENCE AVE
City LOS ANGELES
State CA
ZIP 90001
Phone 323 277-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Pharmacy
Lab Director JEROME F. MO

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