05D2058091 CLIA NUMBER - VONS PHARMACY 2029

Laboratory Demographics

  • CLIA Code: 05D2058091
  • Facility Name: VONS PHARMACY 2029
  • Facility Address: 4033 W AVE L
    LANCASTER, CA
    ZIP 93536
  • Facility Phone: 661 722-0861
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAMANLAL V. PATEL
  • NPI Number: 1457380461
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2058091
LAB Type Pharmacy
Facility Name VONS PHARMACY 2029
Street 4033 W AVE L
City LANCASTER
State CA
ZIP 93536
Phone 661 722-0861
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 RAMANLAL V. PATEL

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