05D1042362 CLIA NUMBER - SAV-ON PHARMACY #1333

Laboratory Demographics

CLIA Number: 05D1042362

Facility Name: SAV-ON PHARMACY #1333

Facility Address:
38727 TIERRA SUBIDA AVE
PALMDALE, CA
ZIP 93551
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Facility Phone Number: 661 274-9678

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1083660088

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D1042362
LAB Type	Pharmacy
Facility Name	SAV-ON PHARMACY #1333
Street	38727 TIERRA SUBIDA AVE
City	PALMDALE
State	CA
ZIP	93551
Phone	661 274-9678
CertificateType	4
CertificateEffectiveDate	9/16/2023
CertificateExpirationDate	9/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024