05D2056248 CLIA NUMBER - VONS PHARMACY #2254

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Laboratory Demographics

CLIA Number: 05D2056248

Facility Name: VONS PHARMACY #2254

Facility Address:
311 W LOS FELIZ ROAD
GLENDALE, CA
ZIP 91204
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Facility Phone Number: (818) 246-8189

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1891721676

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	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

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