05D2056210 CLIA NUMBER - VONS PHARMACY # 2832

Laboratory Demographics

CLIA Number: 05D2056210

Facility Name: VONS PHARMACY # 2832

Facility Address:
1600 E. FOOTHILL BLVD.
LA VERNE, CA
ZIP 91750
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Facility Phone Number: (909) 593-2592

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1770756488

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 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

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