05D2212022 CLIA NUMBER - LYONS PHARMACY

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Laboratory Demographics

CLIA Number: 05D2212022

Facility Name: LYONS PHARMACY

Facility Address:
660 PALOMAR ST UNIT #410411
CHULA VISTA, CA
ZIP 91911
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Facility Phone Number: 619 407-5555

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1902442387

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	05D2212022
LAB Type	Pharmacy
Facility Name	LYONS PHARMACY
Street	660 PALOMAR ST UNIT #410411
City	CHULA VISTA
State	CA
ZIP	91911
Phone	619 407-5555
CertificateType	4
CertificateEffectiveDate	2/2/2023
CertificateExpirationDate	2/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024