05D2056225 CLIA NUMBER - Vons Pharmacy # 2406

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 7603532720

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This page was last updated on: 5/19/2019