05D2057143 CLIA NUMBER - Vons Pharmacy #2131

Laboratory Demographics

CLIA Number: 05D2057143

Facility Name: Vons Pharmacy #2131

Facility Address:
12199 Hesperia Rd
Victorville, CA
ZIP 92392
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Facility Phone Number: (760) 241-8384

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1356387963

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 05D2057143
Facility Name Vons Pharmacy #2131
Street 12199 Hesperia Rd
City Victorville
State CA
ZIP 92392
Phone (760) 241-8384

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This page was last updated on: 12/19/2019