05D2057148 CLIA NUMBER - Vons Pharmacy #1767

Laboratory Demographics

CLIA Number: 05D2057148

Facility Name: Vons Pharmacy #1767

Facility Address:
475 W Main St,
Brawley, CA
ZIP 92227
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Facility Phone Number: (760) 351-3007

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1134158181

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 05D2057148
LAB Type PHARMACY
Facility Name Vons Pharmacy #1767
Street 475 W Main St,
City Brawley
State CA
ZIP 92227
Phone 7603513007

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