05D1042068 CLIA NUMBER - SAV-ON PHARMACY #1394

Laboratory Demographics

  • CLIA Code: 05D1042068
  • Facility Name: SAV-ON PHARMACY #1394
  • Facility Address: 1120 E CLARK AVE
    ORCUTT, CA
    ZIP 93455
  • Facility Phone: 805 934-4002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE WEBB
  • NPI Number: 1417903923
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1042068
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #1394
Street 1120 E CLARK AVE
City ORCUTT
State CA
ZIP 93455
Phone 805 934-4002
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 NICOLE WEBB

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