05D2143790 CLIA NUMBER - SAV-ON PHARMACY #3179

Laboratory Demographics

  • CLIA Code: 05D2143790
  • Facility Name: SAV-ON PHARMACY #3179
  • Facility Address: 12475 RANCHO BERNARDO RD
    SAN DIEGO, CA
    ZIP 92128
  • Facility Phone: 858 385-9229
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MYLINH CHU
  • NPI Number: 1396100285
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2143790
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #3179
Street 12475 RANCHO BERNARDO RD
City SAN DIEGO
State CA
ZIP 92128
Phone 858 385-9229
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 MYLINH CHU

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