05D2056225 CLIA NUMBER - VONS PHARMACY #2406

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Laboratory Demographics

CLIA Number: 05D2056225

Facility Name: VONS PHARMACY #2406

Facility Address:
750 N IMPERIAL AVE
EL CENTRO, CA
ZIP 92243
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Facility Phone Number: (760) 353-2720

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1497784441

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	05D2056225
LAB Type	PHARMACY
Facility Name	VONS PHARMACY #2406
Street	750 N IMPERIAL AVE
City	EL CENTRO
State	CA
ZIP	92243
Phone	(760) 353-2720

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