05D2221222 CLIA NUMBER - WALGREENS #7555

Laboratory Demographics

  • CLIA Code: 05D2221222
  • Facility Name: WALGREENS #7555
  • Facility Address: 1101 W TEHACHAPI BLVD
    TEHACHAPI, CA
    ZIP 93561
  • Facility Phone: 661 823-0163
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZUHAL LATIF
  • NPI Number: 1033124128
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2221222
LAB Type Pharmacy
Facility Name WALGREENS #7555
Street 1101 W TEHACHAPI BLVD
City TEHACHAPI
State CA
ZIP 93561
Phone 661 823-0163
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Pharmacy
Lab Director ZUHAL LATIF

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