05D1038833 CLIA NUMBER - SAV ON PHARMACY #4131

Laboratory Demographics

  • CLIA Code: 05D1038833
  • Facility Name: SAV ON PHARMACY #4131
  • Facility Address: 3901 CRENSHAW BLVD
    LOS ANGELES, CA
    ZIP 90008
  • Facility Phone: 323 295-3330
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIMMY CHANGE, RPH
  • NPI Number: 1982650487
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1038833
LAB Type Pharmacy
Facility Name SAV ON PHARMACY #4131
Street 3901 CRENSHAW BLVD
City LOS ANGELES
State CA
ZIP 90008
Phone 323 295-3330
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 JIMMY CHANGE, RPH

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