05D1042361 CLIA NUMBER - SAV-ON PHARMACY #0331

Laboratory Demographics

  • CLIA Code: 05D1042361
  • Facility Name: SAV-ON PHARMACY #0331
  • Facility Address: 927 S CHINA LAKE BLVD
    RIDGECREST, CA
    ZIP 93555
  • Facility Phone: 760 384-4020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGEL QIN
  • NPI Number: 1609822600
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1042361
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0331
Street 927 S CHINA LAKE BLVD
City RIDGECREST
State CA
ZIP 93555
Phone 760 384-4020
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 ANGEL QIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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