05D1042067 CLIA NUMBER - SAV-ON PHARMACY #1398

Laboratory Demographics

  • CLIA Code: 05D1042067
  • Facility Name: SAV-ON PHARMACY #1398
  • Facility Address: 6045 COFFEE ROAD
    BAKERSFIELD, CA
    ZIP 93308
  • Facility Phone: 661 587-2890
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TY STOUT
  • NPI Number: 1003862491
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1042067
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #1398
Street 6045 COFFEE ROAD
City BAKERSFIELD
State CA
ZIP 93308
Phone 661 587-2890
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 TY STOUT

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