05D2058093 CLIA NUMBER - VONS PHARMACY #2826

Laboratory Demographics

  • CLIA Code: 05D2058093
  • Facility Name: VONS PHARMACY #2826
  • Facility Address: 1745 EASTLAKE PKWY STE 104
    CHULA VISTA, CA
    ZIP 91915
  • Facility Phone: 619 421-4142
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NABHAN JANKEEL
  • NPI Number: 1326297839
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2058093
LAB Type Pharmacy
Facility Name VONS PHARMACY #2826
Street 1745 EASTLAKE PKWY STE 104
City CHULA VISTA
State CA
ZIP 91915
Phone 619 421-4142
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 NABHAN JANKEEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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