05D2305027 CLIA NUMBER - CARSON PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2305027
  • Facility Name: CARSON PHARMACY
  • Facility Address: 21720 S VERMONT AVE SUITE 101
    TORRANCE, CA
    ZIP 90502
  • Facility Phone: 310 328-0982
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONG N. PHAM
  • NPI Number: 1629184007
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2305027
LAB Type Pharmacy
Facility Name CARSON PHARMACY
Street 21720 S VERMONT AVE SUITE 101
City TORRANCE
State CA
ZIP 90502
Phone 310 328-0982
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Pharmacy
Lab Director DONG N. PHAM

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