05D1035542 CLIA NUMBER - SAV-ON PHARMACY #0735

Laboratory Demographics

  • CLIA Code: 05D1035542
  • Facility Name: SAV-ON PHARMACY #0735
  • Facility Address: 23893 CLINTON KEITH ROAD
    WILDOMAR, CA
    ZIP 92595
  • Facility Phone: 951 600-4620
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IVY X. NGUYEN, PIC
  • NPI Number: 1053367425
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1035542
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0735
Street 23893 CLINTON KEITH ROAD
City WILDOMAR
State CA
ZIP 92595
Phone 951 600-4620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Pharmacy
Lab Director IVY X. NGUYEN, PIC

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