05D2057155 CLIA NUMBER - Vons Pharmacy #1625

Laboratory Demographics

CLIA Number: 05D2057155

Facility Name: Vons Pharmacy #1625

Facility Address:
1260 W Redndo Beach Blvd
Gardena, CA
ZIP 90247
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Facility Phone Number: (310) 767-7940

Facility Type: PHARMACY

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D2057155
LAB Type PHARMACY
Facility Name Vons Pharmacy #1625
Street 1260 W Redndo Beach Blvd
City Gardena
State CA
ZIP 90247
Phone (310) 767-7940

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