05D2062591 CLIA NUMBER - WALGREENS #06126

Laboratory Demographics

  • CLIA Code: 05D2062591
  • Facility Name: WALGREENS #06126
  • Facility Address: 27975 BRADLEY RD.
    MENIFEE, CA
    ZIP 92586
  • Facility Phone: 951 246-3092
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATIE D. PHAM
  • NPI Number: 1497760581
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2062591
LAB Type Pharmacy
Facility Name WALGREENS #06126
Street 27975 BRADLEY RD.
City MENIFEE
State CA
ZIP 92586
Phone 951 246-3092
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 KATIE D. PHAM

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