05D2065766 CLIA NUMBER - VONS PHARMACY # 2858

Laboratory Demographics

  • CLIA Code: 05D2065766
  • Facility Name: VONS PHARMACY # 2858
  • Facility Address: 2355 E COLORADO BLVD
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 744-2619
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHENQING GU
  • NPI Number: 1144259193
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065766
LAB Type Pharmacy
Facility Name VONS PHARMACY # 2858
Street 2355 E COLORADO BLVD
City PASADENA
State CA
ZIP 91107
Phone 626 744-2619
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 CHENQING GU

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