05D2056776 CLIA NUMBER - Vons Pharmacy #2111

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
Facility Name Vons Pharmacy #2111
Street 24160 Lyons Ave,
City Newhall
State CA
ZIP 91321
Phone 6612599695

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This page was last updated on: 5/19/2019