05D1038885 CLIA NUMBER - SAV-ON PHARMACY #2305

Laboratory Demographics

  • CLIA Code: 05D1038885
  • Facility Name: SAV-ON PHARMACY #2305
  • Facility Address: 19307 SATICOY ST
    RESEDA, CA
    ZIP 91335
  • Facility Phone: 818 885-1525
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BANGALORE RUDRAPRAKASHA
  • NPI Number: 1619923083
  • Taxonomy: 3336C0003X - Pharmacy

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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
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 BANGALORE RUDRAPRAKASHA

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