05D2057145 CLIA NUMBER - VONS PHARMACY #2162

Laboratory Demographics

  • CLIA Code: 05D2057145
  • Facility Name: VONS PHARMACY #2162
  • Facility Address: 1440 W 25TH ST
    SAN PEDRO, CA
    ZIP 90732
  • Facility Phone: 310 832-0319
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANNE ROSE LEYNES
  • NPI Number: 1487683413
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2057145
LAB Type Pharmacy
Facility Name VONS PHARMACY #2162
Street 1440 W 25TH ST
City SAN PEDRO
State CA
ZIP 90732
Phone 310 832-0319
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Pharmacy
Lab Director ANNE ROSE LEYNES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025