05D1042356 CLIA NUMBER - SAV-ON PHARMACY #1347

Laboratory Demographics

  • CLIA Code: 05D1042356
  • Facility Name: SAV-ON PHARMACY #1347
  • Facility Address: 775 S TUCKER RD
    TEHACHAPI, CA
    ZIP 93561
  • Facility Phone: 661 823-7094
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE AULD
  • NPI Number: 1447206446
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1042356
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #1347
Street 775 S TUCKER RD
City TEHACHAPI
State CA
ZIP 93561
Phone 661 823-7094
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Pharmacy
Lab Director JACQUELINE AULD

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