05D1039542 CLIA NUMBER - SAV-ON PHARMACY #0798

Laboratory Demographics

  • CLIA Code: 05D1039542
  • Facility Name: SAV-ON PHARMACY #0798
  • Facility Address: 30901 RIVERSIDE BLVD
    LAKE ELSINORE, CA
    ZIP 92530
  • Facility Phone: 951 245-5492
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHADY A. WASEF, PIC
  • NPI Number: 1134175789
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1039542
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0798
Street 30901 RIVERSIDE BLVD
City LAKE ELSINORE
State CA
ZIP 92530
Phone 951 245-5492
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Pharmacy
Lab Director SHADY A. WASEF, PIC

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