05D1067940 CLIA NUMBER - VONS PHARMACY #4018

Laboratory Demographics

  • CLIA Code: 05D1067940
  • Facility Name: VONS PHARMACY #4018
  • Facility Address: 10016 SCRIPPS RANCH BLVD
    SAN DIEGO, CA
    ZIP 92131
  • Facility Phone: 858 621-5120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NASHWA JANKEEL
  • NPI Number: 1891724811
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1067940
LAB Type Pharmacy
Facility Name VONS PHARMACY #4018
Street 10016 SCRIPPS RANCH BLVD
City SAN DIEGO
State CA
ZIP 92131
Phone 858 621-5120
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 NASHWA JANKEEL

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