05D2222008 CLIA NUMBER - WALGREENS #10366

Laboratory Demographics

CLIA Number: 05D2222008

Facility Name: WALGREENS #10366

Facility Address:
1186 CALIMESA BLVD
CALIMESA, CA
ZIP 92320
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Facility Phone Number: 909 795-1147

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1285866061

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 05D2222008
LAB Type Pharmacy
Facility Name WALGREENS #10366
Street 1186 CALIMESA BLVD
City CALIMESA
State CA
ZIP 92320
Phone 909 795-1147
CertificateType 4
CertificateEffectiveDate 4/27/2023
CertificateExpirationDate 4/26/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024