05D1042064 CLIA NUMBER - SAV-ON PHARMACY # 0597

Laboratory Demographics

  • CLIA Code: 05D1042064
  • Facility Name: SAV-ON PHARMACY # 0597
  • Facility Address: 4541 CAMPUS DR
    IRVINE, CA
    ZIP 92612
  • Facility Phone: 949 854-8280
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUZAN MOHDER, PIC
  • NPI Number: 1528014529
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1042064
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY # 0597
Street 4541 CAMPUS DR
City IRVINE
State CA
ZIP 92612
Phone 949 854-8280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Pharmacy
Lab Director SUZAN MOHDER, PIC

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