05D2064936 CLIA NUMBER - VONS PHARMACY #2115

Laboratory Demographics

  • CLIA Code: 05D2064936
  • Facility Name: VONS PHARMACY #2115
  • Facility Address: 620 DENNERY RD
    SAN DIEGO, CA
    ZIP 92154
  • Facility Phone: 619 428-3311
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: UYEN TRAN
  • NPI Number: 1366471377
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2064936
LAB Type Pharmacy
Facility Name VONS PHARMACY #2115
Street 620 DENNERY RD
City SAN DIEGO
State CA
ZIP 92154
Phone 619 428-3311
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 UYEN TRAN

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