05D2312135 CLIA NUMBER - CHME PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 05D2312135
  • Facility Name: CHME PHARMACY LLC
  • Facility Address: 1101 CHESS DR #B
    FOSTER CITY, CA
    ZIP 94404
  • Facility Phone: 650 503-6374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIANE TACKABERRY
  • NPI Number: 1841019817
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2312135
LAB Type Pharmacy
Facility Name CHME PHARMACY LLC
Street 1101 CHESS DR #B
City FOSTER CITY
State CA
ZIP 94404
Phone 650 503-6374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Pharmacy
Lab Director DIANE TACKABERRY

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