05D2065821 CLIA NUMBER - VONS PHARMACY #2200

Laboratory Demographics

  • CLIA Code: 05D2065821
  • Facility Name: VONS PHARMACY #2200
  • Facility Address: 130 W FOOTHILL BLVD
    MONROVIA, CA
    ZIP 91016
  • Facility Phone: 626 358-7542
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VERA HU
  • NPI Number: 1376589986
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2065821
LAB Type Pharmacy
Facility Name VONS PHARMACY #2200
Street 130 W FOOTHILL BLVD
City MONROVIA
State CA
ZIP 91016
Phone 626 358-7542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Pharmacy
Lab Director VERA HU

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