05D2058088 CLIA NUMBER - VONS PHARMACY # 2124

Laboratory Demographics

  • CLIA Code: 05D2058088
  • Facility Name: VONS PHARMACY # 2124
  • Facility Address: 7789 FOOTHILL BLVD.
    TUJUNGA, CA
    ZIP 91042
  • Facility Phone: 818 353-5817
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLAUDE BARAKAT
  • NPI Number: 1174552194
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2058088
LAB Type Pharmacy
Facility Name VONS PHARMACY # 2124
Street 7789 FOOTHILL BLVD.
City TUJUNGA
State CA
ZIP 91042
Phone 818 353-5817
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 CLAUDE BARAKAT

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