05D2058092 CLIA NUMBER - VONS PHARMACY # 2501

Laboratory Demographics

  • CLIA Code: 05D2058092
  • Facility Name: VONS PHARMACY # 2501
  • Facility Address: 1855 E COCHRAN ST
    SIMI VALLEY, CA
    ZIP 93065
  • Facility Phone: 805 522-8063
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HALA A. MORSI
  • NPI Number: 1144266735
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2058092
LAB Type Pharmacy
Facility Name VONS PHARMACY # 2501
Street 1855 E COCHRAN ST
City SIMI VALLEY
State CA
ZIP 93065
Phone 805 522-8063
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 HALA A. MORSI

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