05D2056248 CLIA NUMBER - VONS PHARMACY #2254

Laboratory Demographics

  • CLIA Code: 05D2056248
  • Facility Name: VONS PHARMACY #2254
  • Facility Address: 311 W LOS FELIZ ROAD
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 818 246-8189
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KLEONIKI F. GUZELYAN
  • NPI Number: 1891721676
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2056248
LAB Type Pharmacy
Facility Name VONS PHARMACY #2254
Street 311 W LOS FELIZ ROAD
City GLENDALE
State CA
ZIP 91204
Phone 818 246-8189
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 KLEONIKI F. GUZELYAN

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