05D2057146 CLIA NUMBER - VONS PHARMACY 1638

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Laboratory Demographics

CLIA Number: 05D2057146

Facility Name: VONS PHARMACY 1638

Facility Address:
4226 WOODRUFF AVE
LAKEWOOD, CA
ZIP 90713
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Facility Phone Number: (562) 496-4155

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1538191366

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	05D2057146
LAB Type	PHARMACY
Facility Name	VONS PHARMACY 1638
Street	4226 WOODRUFF AVE
City	LAKEWOOD
State	CA
ZIP	90713
Phone	(562) 496-4155

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