05D2056210 CLIA NUMBER - VONS PHARMACY # 2832

Laboratory Demographics

  • CLIA Code: 05D2056210
  • Facility Name: VONS PHARMACY # 2832
  • Facility Address: 1600 E. FOOTHILL BLVD.
    LA VERNE, CA
    ZIP 91750
  • Facility Phone: 909 593-2592
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SINMAN A. CHEN
  • NPI Number: 1770756488
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2056210
LAB Type Pharmacy
Facility Name VONS PHARMACY # 2832
Street 1600 E. FOOTHILL BLVD.
City LA VERNE
State CA
ZIP 91750
Phone 909 593-2592
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Pharmacy
Lab Director SINMAN A. CHEN

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