05D2058087 CLIA NUMBER - VONS PHARMACY # 2091

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Laboratory Demographics

CLIA Number: 05D2058087

Facility Name: VONS PHARMACY # 2091

Facility Address:
32401 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA
ZIP 92675
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Facility Phone Number: (949) 661-3492

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1326084922

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	05D2058087
LAB Type	PHARMACY
Facility Name	VONS PHARMACY # 2091
Street	32401 CAMINO CAPISTRANO
City	SAN JUAN CAPISTRANO
State	CA
ZIP	92675
Phone	(949) 661-3492

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