05D2056288 CLIA NUMBER - VONS PHARMACY #2345

Laboratory Demographics

  • CLIA Code: 05D2056288
  • Facility Name: VONS PHARMACY #2345
  • Facility Address: 1000 WEST EL NORTE PKWY.
    ESCONDIDO, CA
    ZIP 92026
  • Facility Phone: 760 747-5910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY PACKER
  • NPI Number: 1225067275
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2056288
LAB Type Pharmacy
Facility Name VONS PHARMACY #2345
Street 1000 WEST EL NORTE PKWY.
City ESCONDIDO
State CA
ZIP 92026
Phone 760 747-5910
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 JEFFREY PACKER

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This page was last updated on: 6/4/2025