05D2065433 CLIA NUMBER - VONS PHARMACY #1754

Laboratory Demographics

  • CLIA Code: 05D2065433
  • Facility Name: VONS PHARMACY #1754
  • Facility Address: 5638 E KINGS CANYON RD
    FRESNO, CA
    ZIP 93727
  • Facility Phone: 559 458-0240
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIN MCCLAIN
  • NPI Number: 1528004306
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065433
LAB Type Pharmacy
Facility Name VONS PHARMACY #1754
Street 5638 E KINGS CANYON RD
City FRESNO
State CA
ZIP 93727
Phone 559 458-0240
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 KRISTIN MCCLAIN

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