05D2272443 CLIA NUMBER - SAV-ON PHARMACY #3177

Laboratory Demographics

CLIA Number: 05D2272443

Facility Name: SAV-ON PHARMACY #3177

Facility Address:
8850 FOOTHILL BLVD
RANCHO CUCAMONGA, CA
ZIP 91730
Get Directions

Facility Phone Number: 909 484-8251

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700241692

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	05D2272443
LAB Type	Physician Office
Facility Name	SAV-ON PHARMACY #3177
Street	8850 FOOTHILL BLVD
City	RANCHO CUCAMONGA
State	CA
ZIP	91730
Phone	909 484-8251
CertificateType	4
CertificateEffectiveDate	11/21/2022
CertificateExpirationDate	11/20/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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