05D2056209 CLIA NUMBER - VONS PHARMACY #2665

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Laboratory Demographics

CLIA Number: 05D2056209

Facility Name: VONS PHARMACY #2665

Facility Address:
4520 SUNSET BLVD.
LOS ANGELES, CA
ZIP 90027
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Facility Phone Number: (323) 662-2121

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1275579880

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	05D2056209
LAB Type	PHARMACY
Facility Name	VONS PHARMACY #2665
Street	4520 SUNSET BLVD.
City	LOS ANGELES
State	CA
ZIP	90027
Phone	(323) 662-2121

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This page was last updated on: 5/11/2023