05D2057301 CLIA NUMBER - VONS PHARMACY #2598

Laboratory Demographics

  • CLIA Code: 05D2057301
  • Facility Name: VONS PHARMACY #2598
  • Facility Address: 3233 FOOTHILL BLVD
    LA CRESCENTA, CA
    ZIP 91214
  • Facility Phone: 818 658-1030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VIVIAN CHAN
  • NPI Number: 1720024334
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2057301
LAB Type Pharmacy
Facility Name VONS PHARMACY #2598
Street 3233 FOOTHILL BLVD
City LA CRESCENTA
State CA
ZIP 91214
Phone 818 658-1030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director VIVIAN CHAN

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