05D2056776 CLIA NUMBER - VONS PHARMACY #2111

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Laboratory Demographics

CLIA Number: 05D2056776

Facility Name: VONS PHARMACY #2111

Facility Address:
24160 LYONS AVE
NEWHALL, CA
ZIP 91321
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Facility Phone Number: (661) 259-9695

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1902835945

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	05D2056776
LAB Type	PHARMACY
Facility Name	VONS PHARMACY #2111
Street	24160 LYONS AVE
City	NEWHALL
State	CA
ZIP	91321
Phone	(661) 259-9695

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