05D2064911 CLIA NUMBER - VONS PHARMACY # 2436

Laboratory Demographics

  • CLIA Code: 05D2064911
  • Facility Name: VONS PHARMACY # 2436
  • Facility Address: 2101 N ROSE AVE
    OXNARD, CA
    ZIP 93030
  • Facility Phone: 805 981-1485
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NAMIRAHIAN SHOKOOFEH
  • NPI Number: 1053357640
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2064911
LAB Type Pharmacy
Facility Name VONS PHARMACY # 2436
Street 2101 N ROSE AVE
City OXNARD
State CA
ZIP 93030
Phone 805 981-1485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Pharmacy
Lab Director NAMIRAHIAN SHOKOOFEH

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