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05D1067933 CLIA NUMBER - VONS PHARMACY #2420

Laboratory Demographics

CLIA Number: 05D1067933

Facility Name: VONS PHARMACY #2420

Facility Address:
9000 MING AVE
BAKERSFIELD, CA
ZIP 93311
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Facility Phone Number: 661 663-0598

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1992734917

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 05D1067933
LAB Type Pharmacy
Facility Name VONS PHARMACY #2420
Street 9000 MING AVE
City BAKERSFIELD
State CA
ZIP 93311
Phone 661 663-0598
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