05D2057206 CLIA NUMBER - VONS PHARMACY 2735

Laboratory Demographics

  • CLIA Code: 05D2057206
  • Facility Name: VONS PHARMACY 2735
  • Facility Address: 2495 TRUXTUN RD., STE. 100
    SAN DIEGO, CA
    ZIP 92106
  • Facility Phone: 619 758-9004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLTON CHUANG
  • NPI Number: 1174702484
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2057206
LAB Type Pharmacy
Facility Name VONS PHARMACY 2735
Street 2495 TRUXTUN RD., STE. 100
City SAN DIEGO
State CA
ZIP 92106
Phone 619 758-9004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Pharmacy
Lab Director CHARLTON CHUANG

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