05D1038827 CLIA NUMBER - SAV-ON PHARMACY #0819

Laboratory Demographics

  • CLIA Code: 05D1038827
  • Facility Name: SAV-ON PHARMACY #0819
  • Facility Address: 1930 N PLACENTIA AVE
    FULLERTON, CA
    ZIP 92831
  • Facility Phone: 714 792-0990
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MACARIO R. MAMANGUN, PIC
  • NPI Number: 1417903881
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1038827
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0819
Street 1930 N PLACENTIA AVE
City FULLERTON
State CA
ZIP 92831
Phone 714 792-0990
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 MACARIO R. MAMANGUN, PIC

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