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05D0977233 CLIA NUMBER - RALPHS PHARMACY #108

Laboratory Demographics

CLIA Number: 05D0977233

Facility Name: RALPHS PHARMACY #108

Facility Address:
6857 VILLA LA JOLLA
LA JOLLA, CA
ZIP 92038
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Facility Phone Number: 858 597-0108

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1760407365

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 05D0977233
LAB Type Pharmacy
Facility Name RALPHS PHARMACY #108
Street 6857 VILLA LA JOLLA
City LA JOLLA
State CA
ZIP 92038
Phone 858 597-0108
CertificateType 4
CertificateEffectiveDate 8/22/2022
CertificateExpirationDate 8/21/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024