05D2056228 CLIA NUMBER - VONS PHARMACY # 2188

Laboratory Demographics

  • CLIA Code: 05D2056228
  • Facility Name: VONS PHARMACY # 2188
  • Facility Address: 8949 N. CEDAR AVE
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 438-1356
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSS C. MILLER
  • NPI Number: 1134165764
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2056228
LAB Type Pharmacy
Facility Name VONS PHARMACY # 2188
Street 8949 N. CEDAR AVE
City FRESNO
State CA
ZIP 93720
Phone 559 438-1356
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 ROSS C. MILLER

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