05D1067923 CLIA NUMBER - VONS PHARMACY #2209

Laboratory Demographics

  • CLIA Code: 05D1067923
  • Facility Name: VONS PHARMACY #2209
  • Facility Address: 5500 WOODRUFF AVE
    LAKEWOOD, CA
    ZIP 90713
  • Facility Phone: 562 866-7083
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PEARL KO-WONG
  • NPI Number: 1336178383
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1067923
LAB Type Pharmacy
Facility Name VONS PHARMACY #2209
Street 5500 WOODRUFF AVE
City LAKEWOOD
State CA
ZIP 90713
Phone 562 866-7083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director PEARL KO-WONG

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