05D2058084 CLIA NUMBER - Vons Pharmacy # 2250

Laboratory Demographics

CLIA Number: 05D2058084

Facility Name: Vons Pharmacy # 2250

Facility Address:
16830 San Fernando Mission Blvd.,
Granada Hills, CA
ZIP 91344
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Facility Phone Number: (818) 861-5059

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1407892011

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 05D2058084
LAB Type PHARMACY
Facility Name Vons Pharmacy # 2250
Street 16830 San Fernando Mission Blvd.,
City Granada Hills
State CA
ZIP 91344
Phone 8188615059

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This page was last updated on: 5/19/2019