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05D1035500 CLIA NUMBER - SAV-ON PHARMACY #2591

Laboratory Demographics

CLIA Number: 05D1035500

Facility Name: SAV-ON PHARMACY #2591

Facility Address:
14201 JEFFREY ROAD
IRVINE, CA
ZIP 92620
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Facility Phone Number: 949 733-0945

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1124074638

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 05D1035500
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #2591
Street 14201 JEFFREY ROAD
City IRVINE
State CA
ZIP 92620
Phone 949 733-0945
CertificateType 4
CertificateEffectiveDate 8/4/2023
CertificateExpirationDate 8/3/2025
FacilityType Waiver

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