05D2056212 CLIA NUMBER - VONS PHARMACY # 3517

Laboratory Demographics

  • CLIA Code: 05D2056212
  • Facility Name: VONS PHARMACY # 3517
  • Facility Address: 24325 CRENSHAW BLVD
    TORRANCE, CA
    ZIP 90503
  • Facility Phone: 310 784-1025
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SOOHAN CHANG
  • NPI Number: 1417993015
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2056212
LAB Type Pharmacy
Facility Name VONS PHARMACY # 3517
Street 24325 CRENSHAW BLVD
City TORRANCE
State CA
ZIP 90503
Phone 310 784-1025
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 SOOHAN CHANG

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