05D2065784 CLIA NUMBER - VONS PHARMACY # 2384

Laboratory Demographics

  • CLIA Code: 05D2065784
  • Facility Name: VONS PHARMACY # 2384
  • Facility Address: 4733 E PALM CANYON DR
    PALM SPRINGS, CA
    ZIP 92264
  • Facility Phone: (760) 324-8269
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY YANG
  • NPI Number: 1508895558
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065784
LAB Type Pharmacy
Facility Name VONS PHARMACY # 2384
Street 4733 E PALM CANYON DR
City PALM SPRINGS
State CA
ZIP 92264
Phone 7603248269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Pharmacy
Lab Director JEFFREY YANG

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This page was last updated on: 5/18/2026