05D1039566 CLIA NUMBER - SAV-ON PHARMACY #0758

Laboratory Demographics

  • CLIA Code: 05D1039566
  • Facility Name: SAV-ON PHARMACY #0758
  • Facility Address: 543 SWEETWATER RD
    SPRING VALLEY, CA
    ZIP 91977
  • Facility Phone: 619 461-2100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MIKE KATY
  • NPI Number: 1417995655
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1039566
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0758
Street 543 SWEETWATER RD
City SPRING VALLEY
State CA
ZIP 91977
Phone 619 461-2100
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 MIKE KATY

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