05D2065508 CLIA NUMBER - VONS PHARMACY #2261

Laboratory Demographics

  • CLIA Code: 05D2065508
  • Facility Name: VONS PHARMACY #2261
  • Facility Address: 3461 W THIRD ST
    LOS ANGELES, CA
    ZIP 90020
  • Facility Phone: 213 382-5971
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAM A. LE
  • NPI Number: 1366488975
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065508
LAB Type Pharmacy
Facility Name VONS PHARMACY #2261
Street 3461 W THIRD ST
City LOS ANGELES
State CA
ZIP 90020
Phone 213 382-5971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director TRAM A. LE

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