05D2032096 CLIA NUMBER - SAV-ON PHARMACY #0704

Laboratory Demographics

  • CLIA Code: 05D2032096
  • Facility Name: SAV-ON PHARMACY #0704
  • Facility Address: 2955 ALPINE BLVD
    ALPINE, CA
    ZIP 91901
  • Facility Phone: 619 445-0601
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMR EL SAMRA
  • NPI Number: 1477738359
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2032096
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0704
Street 2955 ALPINE BLVD
City ALPINE
State CA
ZIP 91901
Phone 619 445-0601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Pharmacy
Lab Director AMR EL SAMRA

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