05D2218028 CLIA NUMBER - SAVCO PHARMACY

Laboratory Demographics

CLIA Number: 05D2218028

Facility Name: SAVCO PHARMACY

Facility Address:
455 OCONNOR DR STE 190
SAN JOSE, CA
ZIP 95128
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Facility Phone Number: 408 298-6190

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1952442477

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	05D2218028
LAB Type	Pharmacy
Facility Name	SAVCO PHARMACY
Street	455 OCONNOR DR STE 190
City	SAN JOSE
State	CA
ZIP	95128
Phone	408 298-6190
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

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