05D1038089 CLIA NUMBER - SAV ON PHARMACY #0170

Laboratory Demographics

  • CLIA Code: 05D1038089
  • Facility Name: SAV ON PHARMACY #0170
  • Facility Address: 18579 BROOKHURST ST
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 378-0174
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROL H. UYEDA, RPH
  • NPI Number: 1871549378
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1038089
LAB Type Pharmacy
Facility Name SAV ON PHARMACY #0170
Street 18579 BROOKHURST ST
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 378-0174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Pharmacy
Lab Director CAROL H. UYEDA, RPH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025