05D1067900 CLIA NUMBER - VONS PHARMACY #2012

Laboratory Demographics

  • CLIA Code: 05D1067900
  • Facility Name: VONS PHARMACY #2012
  • Facility Address: 7788 REGENTS ROAD
    SAN DIEGO, CA
    ZIP 92122
  • Facility Phone: 858 455-6340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUZETTE L. BALWING
  • NPI Number: 1164451118
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1067900
LAB Type Pharmacy
Facility Name VONS PHARMACY #2012
Street 7788 REGENTS ROAD
City SAN DIEGO
State CA
ZIP 92122
Phone 858 455-6340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director SUZETTE L. BALWING

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