05D2107046 CLIA NUMBER - VONS PHARMACY #2381

Laboratory Demographics

  • CLIA Code: 05D2107046
  • Facility Name: VONS PHARMACY #2381
  • Facility Address: 535 N MCKINLEY ST
    CORONA, CA
    ZIP 92879
  • Facility Phone: 951 278-8284
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AYTEN YATIM
  • NPI Number: 1225074834
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2107046
LAB Type Pharmacy
Facility Name VONS PHARMACY #2381
Street 535 N MCKINLEY ST
City CORONA
State CA
ZIP 92879
Phone 951 278-8284
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 AYTEN YATIM

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