05D2060523 CLIA NUMBER - WALGREENS #06446

Laboratory Demographics

  • CLIA Code: 05D2060523
  • Facility Name: WALGREENS #06446
  • Facility Address: 11900 BEACH BLVD
    STANTON, CA
    ZIP 90680
  • Facility Phone: 714 890-9063
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LY M. KHUC
  • NPI Number: 1851306138
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2060523
LAB Type Pharmacy
Facility Name WALGREENS #06446
Street 11900 BEACH BLVD
City STANTON
State CA
ZIP 90680
Phone 714 890-9063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Pharmacy
Lab Director LY M. KHUC

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