05D2056293 CLIA NUMBER - VONS PHARMACY # 2164

Laboratory Demographics

  • CLIA Code: 05D2056293
  • Facility Name: VONS PHARMACY # 2164
  • Facility Address: 5688 TELEPHONE RD
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 644-5922
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLEE LINDAUER
  • NPI Number: 1083640866
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2056293
LAB Type Pharmacy
Facility Name VONS PHARMACY # 2164
Street 5688 TELEPHONE RD
City VENTURA
State CA
ZIP 93003
Phone 805 644-5922
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 KELLEE LINDAUER

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