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05D1067921 CLIA NUMBER - VONS PHARMACY #2152

Laboratory Demographics

CLIA Number: 05D1067921

Facility Name: VONS PHARMACY #2152

Facility Address:
155 W CALIFORNIA RD
PASADENA, CA
ZIP 91105
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Facility Phone Number: 626 577-2594

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1750310785

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 05D1067921
LAB Type Pharmacy
Facility Name VONS PHARMACY #2152
Street 155 W CALIFORNIA RD
City PASADENA
State CA
ZIP 91105
Phone 626 577-2594
CertificateType 4
CertificateEffectiveDate 4/27/2023
CertificateExpirationDate 4/26/2025
FacilityType Waiver

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