05D1037568 CLIA NUMBER - SAV-ON PHARMACY #1319

Laboratory Demographics

  • CLIA Code: 05D1037568
  • Facility Name: SAV-ON PHARMACY #1319
  • Facility Address: 450 E CYPRESS AVE
    REDLANDS, CA
    ZIP 92373
  • Facility Phone: 909 793-2218
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OMAR ASSALI
  • NPI Number: 1881640407
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1037568
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #1319
Street 450 E CYPRESS AVE
City REDLANDS
State CA
ZIP 92373
Phone 909 793-2218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Pharmacy
Lab Director OMAR ASSALI

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