340B Drug Pricing Program Database


FQHCLA482 NOALAB CLINIC INC (Active) - information as of 4/29/2025 10:40:49 PM

Main Details
NOALAB CLINIC INC
Noalab Community Healthcare - Coldwater Canyon
Health Center Program Look-Alike
BPS-LAL-039530
FQHCLA482
LALCS54729


Additional Details
Active
1/3/2025
4/1/2025
2/6/2025

Contacts

Noalab Clinic Inc.
Lukash Abrahamyan, CEO
(818) 648-0044

Noalab Clinic Inc.
Hayk Avalayan, Administrator
(818) 641-8583

Addresses

6428 Coldwater Canyon Ave
North Hollywood, CA 91606-1113

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09786 6588 FOOTHILL BLVD
TUJUNGACA9104204/02/202507/01/2025  04/02/2025
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09625 9089 WOODMAN AVE.
ARLETACA9133104/02/202507/01/2025  04/02/2025
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09850 5969 LANKERSHIM BLVD.
NORTH HOLLYWOODCA9160104/02/202507/01/2025  04/02/2025
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 04789 10945 VICTORY BOULEVARD
NORTH. HOLLYWOODCA9160604/02/202507/01/2025  04/02/2025
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 04792 15232 SHERMAN WAY
VAN NUYSCA9140504/02/202507/01/2025  04/02/2025
Contract DetailGARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09717 13021 VICTORY BLVD.
NORTH HOLLYWOODCA9160604/02/202507/01/2025  04/02/2025
Contract DetailGARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16097 8840 CORBIN AVE
NORTHRIDGECA9132404/02/202507/01/2025  04/02/2025
Contract DetailTHRIFTY PAYLESS, INC.RITE AID #5553 10823 ZELZAH AVENUE BLDG D
GRANADA HILLSCA9134404/07/202507/01/2025  04/07/2025
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
FQHCLA482ActiveBPS-LAL-039530NOALAB CLINIC INCNoalab Community Healthcare - Coldwater Canyon6428 Coldwater Canyon Ave North HollywoodCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
FQHCLA482GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09786 6588 FOOTHILL BLVD
TUJUNGACA9104207/01/2025  
FQHCLA482GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09625 9089 WOODMAN AVE.
ARLETACA9133107/01/2025  
FQHCLA482GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09850 5969 LANKERSHIM BLVD.
NORTH HOLLYWOODCA9160107/01/2025  
FQHCLA482GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 04789 10945 VICTORY BOULEVARD
NORTH. HOLLYWOODCA9160607/01/2025  
FQHCLA482GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 04792 15232 SHERMAN WAY
VAN NUYSCA9140507/01/2025  
FQHCLA482GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09717 13021 VICTORY BLVD.
NORTH HOLLYWOODCA9160607/01/2025  
FQHCLA482GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16097 8840 CORBIN AVE
NORTHRIDGECA9132407/01/2025  
FQHCLA482THRIFTY PAYLESS, INC.RITE AID #5553 10823 ZELZAH AVENUE BLDG D
GRANADA HILLSCA9134407/01/2025  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate ApprovedActive4/1/2025 12:01 AM
ContactsSigned ByInsertNew Registration Abrahamyan, Lukash CEO Noalab Clinic Inc. 81864800442/6/2025 11:57 AM
Details340B IDUpdateNew Registration FQHCLA4822/6/2025 11:57 AM
DatesParticipating Approval DateUpdateNew Registration 2/6/2025 11:57:12 AM2/6/2025 11:57 AM
DetailsStateUpdateNew RegistrationPendingApproved2/6/2025 11:57 AM
DatesSigned By DateUpdateNew Registration 1/3/2025 6:50:31 PM2/6/2025 11:57 AM
DatesStart DateUpdateNew Registration 4/1/2025 12:00:00 AM2/6/2025 11:57 AM
AddressesMain AddressInsertNew Registration  6428 Coldwater Canyon Ave North Hollywood, CA 91606-11131/3/2025 6:50 PM
ContactsAuthorizing OfficialInsertNew Registration Abrahamyan, Lukash CEO Noalab Clinic Inc. 81864800441/3/2025 6:50 PM
ContactsPrimary ContactInsertNew Registration Avalayan, Hayk Administrator Noalab Clinic Inc. 81864185831/3/2025 6:50 PM
DetailsAssistance Received From DateInsertNew Registration  1/3/2025 6:50 PM
DetailsAssistance Received To DateInsertNew Registration  1/3/2025 6:50 PM
DetailsLast Recertification DateInsertNew Registration  1/3/2025 6:50 PM
DetailsGrant NumberInsertNew Registration LALCS547291/3/2025 6:50 PM
Details340B IDInsertNew Registration  1/3/2025 6:50 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/3/2025 6:50 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/3/2025 6:50 PM
DetailsMedicare Provider NumberInsertNew Registration  1/3/2025 6:50 PM
DetailsEntity NameInsertNew Registration NOALAB CLINIC INC1/3/2025 6:50 PM
DetailsNOFO NumberInsertNew Registration  1/3/2025 6:50 PM
DetailsProgram CodeInsertNew Registration FQHCLA1/3/2025 6:50 PM
DetailsEntity SubnameInsertNew Registration Noalab Community Healthcare - Coldwater Canyon1/3/2025 6:50 PM
DatesParticipating Approval DateInsertNew Registration  1/3/2025 6:50 PM
DetailsStateInsertNew Registration Pending1/3/2025 6:50 PM
DatesRegistration DateInsertNew Registration 1/3/2025 6:50:29 PM1/3/2025 6:50 PM
DatesSigned By DateInsertNew Registration  1/3/2025 6:50 PM
DatesStart DateInsertNew Registration  1/3/2025 6:50 PM
TerminationsTermination CommentsInsertNew Registration  1/3/2025 6:50 PM
TerminationsTermination DateInsertNew Registration  1/3/2025 6:50 PM
TerminationsTermination Effective DateInsertNew Registration  1/3/2025 6:50 PM
TerminationsTermination ReasonInsertNew Registration  1/3/2025 6:50 PM