05D2065265 CLIA NUMBER - VONS PHARMACY #1962

Laboratory Demographics

  • CLIA Code: 05D2065265
  • Facility Name: VONS PHARMACY #1962
  • Facility Address: 29530 RANCHO CALIFORNIA RD
    TEMECULA, CA
    ZIP 92591
  • Facility Phone: 951 695-7273
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAJAN SHAH
  • NPI Number: 1417993023
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065265
LAB Type Pharmacy
Facility Name VONS PHARMACY #1962
Street 29530 RANCHO CALIFORNIA RD
City TEMECULA
State CA
ZIP 92591
Phone 951 695-7273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Pharmacy
Lab Director RAJAN SHAH

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