05D2062956 CLIA NUMBER - WALGREENS #6061

Laboratory Demographics

  • CLIA Code: 05D2062956
  • Facility Name: WALGREENS #6061
  • Facility Address: 1241 W FOOTHILL BLVD
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 985-2713
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIE DAY
  • NPI Number: 1750396040
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2062956
LAB Type Pharmacy
Facility Name WALGREENS #6061
Street 1241 W FOOTHILL BLVD
City UPLAND
State CA
ZIP 91786
Phone 909 985-2713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Pharmacy
Lab Director JULIE DAY

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