05D2143787 CLIA NUMBER - SAV-ON PHARMACY #3171

Laboratory Demographics

  • CLIA Code: 05D2143787
  • Facility Name: SAV-ON PHARMACY #3171
  • Facility Address: 1500 NORTH H ST
    LOMPOC, CA
    ZIP 93436
  • Facility Phone: 805 737-0416
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUFUS MALLICK
  • NPI Number: 1811352313
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2143787
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #3171
Street 1500 NORTH H ST
City LOMPOC
State CA
ZIP 93436
Phone 805 737-0416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Pharmacy
Lab Director RUFUS MALLICK

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