05D2058083 CLIA NUMBER - VONS PHARMACY #2861

Laboratory Demographics

  • CLIA Code: 05D2058083
  • Facility Name: VONS PHARMACY #2861
  • Facility Address: 600 E. BROADWAY
    LONG BEACH, CA
    ZIP 90802
  • Facility Phone: 562 437-5162
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THANH B. CHUNG
  • NPI Number: 1891731402
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2058083
LAB Type Pharmacy
Facility Name VONS PHARMACY #2861
Street 600 E. BROADWAY
City LONG BEACH
State CA
ZIP 90802
Phone 562 437-5162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director THANH B. CHUNG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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