05D2057155 CLIA NUMBER - VONS PHARMACY #1625

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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

NPI Number: 1801822689

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	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: 5/11/2023