05D2312404 CLIA NUMBER - FAMILY PHARMACY 3

Laboratory Demographics

  • CLIA Code: 05D2312404
  • Facility Name: FAMILY PHARMACY 3
  • Facility Address: 340 4TH AVE STE 1
    CHULA VISTA, CA
    ZIP 91910
  • Facility Phone: 619 373-1477
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOOR MIKHAIL
  • NPI Number: 1851095160
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2312404
LAB Type Pharmacy
Facility Name FAMILY PHARMACY 3
Street 340 4TH AVE STE 1
City CHULA VISTA
State CA
ZIP 91910
Phone 619 373-1477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Pharmacy
Lab Director NOOR MIKHAIL

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