05D2065438 CLIA NUMBER - VONS PHARMACY #2825

Laboratory Demographics

  • CLIA Code: 05D2065438
  • Facility Name: VONS PHARMACY #2825
  • Facility Address: 1291 S VICTORIA BLVD
    OXNARD, CA
    ZIP 93030
  • Facility Phone: 805 984-3268
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NGUYEN THY-VI
  • NPI Number: 1427124999
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065438
LAB Type Pharmacy
Facility Name VONS PHARMACY #2825
Street 1291 S VICTORIA BLVD
City OXNARD
State CA
ZIP 93030
Phone 805 984-3268
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 NGUYEN THY-VI

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