05D2062297 CLIA NUMBER - WALGREENS #07591

Laboratory Demographics

  • CLIA Code: 05D2062297
  • Facility Name: WALGREENS #07591
  • Facility Address: 120 W PARKRIDGE AVE
    CORONA, CA
    ZIP 92880
  • Facility Phone: 951 278-1852
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN NGUYEN
  • NPI Number: 1851306948
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2062297
LAB Type Pharmacy
Facility Name WALGREENS #07591
Street 120 W PARKRIDGE AVE
City CORONA
State CA
ZIP 92880
Phone 951 278-1852
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 JOHN NGUYEN

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: 9/29/2025