05D1038885 CLIA NUMBER - SAV ON PHARMACY #2305

Laboratory Demographics

CLIA Number: 05D1038885

Facility Name: SAV ON PHARMACY #2305

Facility Address:
19307 SATICOY ST
RESEDA, CA
ZIP 91335
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Facility Phone Number: 818 885-1525

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1619923083

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 05D1038885
LAB Type Pharmacy
Facility Name SAV ON PHARMACY #2305
Street 19307 SATICOY ST
City RESEDA
State CA
ZIP 91335
Phone 818 885-1525
CertificateType 4
CertificateEffectiveDate 3/29/2023
CertificateExpirationDate 3/28/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024