05D2057833 CLIA NUMBER - VONS PHARMACY 2784

Laboratory Demographics

  • CLIA Code: 05D2057833
  • Facility Name: VONS PHARMACY 2784
  • Facility Address: 515 W WASHINGTON ST
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 619 299-0079
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NASHSHWA JANKEEL
  • NPI Number: 1184997835
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2057833
LAB Type Pharmacy
Facility Name VONS PHARMACY 2784
Street 515 W WASHINGTON ST
City SAN DIEGO
State CA
ZIP 92103
Phone 619 299-0079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Pharmacy
Lab Director NASHSHWA JANKEEL

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This page was last updated on: 6/4/2025