05D2219517 CLIA NUMBER - WALGREENS #07482

Laboratory Demographics

  • CLIA Code: 05D2219517
  • Facility Name: WALGREENS #07482
  • Facility Address: 1800 W SLAUSON AVE
    LOS ANGELES, CA
    ZIP 90047
  • Facility Phone: 323 292-1941
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: NICHOLAS P. CHECKET
  • NPI Number: 1922013010
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2219517
LAB Type Other - COVID TESTING
Facility Name WALGREENS #07482
Street 1800 W SLAUSON AVE
City LOS ANGELES
State CA
ZIP 90047
Phone 323 292-1941
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 NICHOLAS P. CHECKET

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