05D2312155 CLIA NUMBER - GREAT COMPANY DBA 986 PHARMACY #8032

Laboratory Demographics

  • CLIA Code: 05D2312155
  • Facility Name: GREAT COMPANY DBA 986 PHARMACY #8032
  • Facility Address: 2554 E WASHINGTON BLVD #B
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 791-7595
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHENG H. HUANG
  • NPI Number: 1346378007
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2312155
LAB Type Pharmacy
Facility Name GREAT COMPANY DBA 986 PHARMACY #8032
Street 2554 E WASHINGTON BLVD #B
City PASADENA
State CA
ZIP 91107
Phone 626 791-7595
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 SHENG H. HUANG

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