05D2060625 CLIA NUMBER - WALGREENS #06388

Laboratory Demographics

  • CLIA Code: 05D2060625
  • Facility Name: WALGREENS #06388
  • Facility Address: 1301 E 17TH ST
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 714 541-1747
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH FILLY
  • NPI Number: 1083629372
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2060625
LAB Type Pharmacy
Facility Name WALGREENS #06388
Street 1301 E 17TH ST
City SANTA ANA
State CA
ZIP 92705
Phone 714 541-1747
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 JOSEPH FILLY

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