05D1038822 CLIA NUMBER - SAV-ON PHARMACY #0110

Laboratory Demographics

  • CLIA Code: 05D1038822
  • Facility Name: SAV-ON PHARMACY #0110
  • Facility Address: 7201 YORKTOWN AVE
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Facility Phone: 714 536-3679
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTIGONE M. NGUYEN, PIC
  • NPI Number: 1487600037
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1038822
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0110
Street 7201 YORKTOWN AVE
City HUNTINGTON BEACH
State CA
ZIP 92648
Phone 714 536-3679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director ANTIGONE M. NGUYEN, PIC

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