05D2057212 CLIA NUMBER - VONS PHARMACY # 1626

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Laboratory Demographics

CLIA Number: 05D2057212

Facility Name: VONS PHARMACY # 1626

Facility Address:
3650 S BRISTOL ST
SANTA ANA, CA
ZIP 92704
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Facility Phone Number: (714) 540-0393

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1083650626

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	05D2057212
LAB Type	PHARMACY
Facility Name	VONS PHARMACY # 1626
Street	3650 S BRISTOL ST
City	SANTA ANA
State	CA
ZIP	92704
Phone	(714) 540-0393

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