05D2309233 CLIA NUMBER - ACTON VALE PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2309233
  • Facility Name: ACTON VALE PHARMACY
  • Facility Address: 3630 SMITH AVE STE A.
    ACTON, CA
    ZIP 93510
  • Facility Phone: 661 269-9911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMMA B. AMIHYIA
  • NPI Number: 1124393616
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2309233
LAB Type Pharmacy
Facility Name ACTON VALE PHARMACY
Street 3630 SMITH AVE STE A.
City ACTON
State CA
ZIP 93510
Phone 661 269-9911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Pharmacy
Lab Director AMMA B. AMIHYIA

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