05D2219486 CLIA NUMBER - WALGREENS #07015

Laboratory Demographics

  • CLIA Code: 05D2219486
  • Facility Name: WALGREENS #07015
  • Facility Address: 20901 DEVONSHIRE STREET
    CHATSWORTH, CA
    ZIP 91311
  • Facility Phone: 818 341-4339
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: BERNARD GOROSPE
  • NPI Number: 1487669768
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2219486
LAB Type Other - COVID TESTING
Facility Name WALGREENS #07015
Street 20901 DEVONSHIRE STREET
City CHATSWORTH
State CA
ZIP 91311
Phone 818 341-4339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Other - COVID TESTING
Lab Director BERNARD GOROSPE

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