05D1042063 CLIA NUMBER - SAV-ON PHARMACY #2509

Laboratory Demographics

  • CLIA Code: 05D1042063
  • Facility Name: SAV-ON PHARMACY #2509
  • Facility Address: 804 AVENIDA PICO
    SAN CLEMENTE, CA
    ZIP 92673
  • Facility Phone: 949 492-9448
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARIN NAKAMURA
  • NPI Number: 1699721191
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1042063
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #2509
Street 804 AVENIDA PICO
City SAN CLEMENTE
State CA
ZIP 92673
Phone 949 492-9448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director KARIN NAKAMURA

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