05D2219525 CLIA NUMBER - WALGREENS #09089

Laboratory Demographics

  • CLIA Code: 05D2219525
  • Facility Name: WALGREENS #09089
  • Facility Address: 19001 BROOKHURST ST
    HUNTINGTON BEACH, CA
    ZIP 92646
  • Facility Phone: 714 593-1352
  • Facility Type: Other - COVID TESTING
  • Facility Type: Waiver
  • Lab Director: ELIZABETH U. LUU
  • NPI Number: 1881609154
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2219525
LAB Type Other - COVID TESTING
Facility Name WALGREENS #09089
Street 19001 BROOKHURST ST
City HUNTINGTON BEACH
State CA
ZIP 92646
Phone 714 593-1352
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 ELIZABETH U. LUU

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