05D1037988 CLIA NUMBER - SAV-ON PHARMACY #3554

Laboratory Demographics

  • CLIA Code: 05D1037988
  • Facility Name: SAV-ON PHARMACY #3554
  • Facility Address: 1235 S DIAMOND BAR BLVD
    DIAMOND BAR, CA
    ZIP 91765
  • Facility Phone: 909 861-9433
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAGHAD H. ABDO, PIC
  • NPI Number: 1427004928
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1037988
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #3554
Street 1235 S DIAMOND BAR BLVD
City DIAMOND BAR
State CA
ZIP 91765
Phone 909 861-9433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Pharmacy
Lab Director RAGHAD H. ABDO, PIC

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