05D2057146 CLIA NUMBER - VONS PHARMACY 1638

Laboratory Demographics

  • CLIA Code: 05D2057146
  • Facility Name: VONS PHARMACY 1638
  • Facility Address: 4226 WOODRUFF AVE
    LAKEWOOD, CA
    ZIP 90713
  • Facility Phone: 562 496-4155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SOLANGE J. STRAMLER
  • NPI Number: 1538191366
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2057146
LAB Type Pharmacy
Facility Name VONS PHARMACY 1638
Street 4226 WOODRUFF AVE
City LAKEWOOD
State CA
ZIP 90713
Phone 562 496-4155
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 SOLANGE J. STRAMLER

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