05D2032104 CLIA NUMBER - SAV-ON PHARMACY #0552

Laboratory Demographics

  • CLIA Code: 05D2032104
  • Facility Name: SAV-ON PHARMACY #0552
  • Facility Address: 27702 CROWN VALLEY PARKWAY, #B
    LADERA RANCH, CA
    ZIP 92694
  • Facility Phone: 949 364-2098
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEDHAT FAHIM
  • NPI Number: 1376758656
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2032104
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0552
Street 27702 CROWN VALLEY PARKWAY, #B
City LADERA RANCH
State CA
ZIP 92694
Phone 949 364-2098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Pharmacy
Lab Director MEDHAT FAHIM

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