05D2223006 CLIA NUMBER - WALGREENS #01080

Laboratory Demographics

  • CLIA Code: 05D2223006
  • Facility Name: WALGREENS #01080
  • Facility Address: 43200 STATE HIGHWAY 74
    HEMET, CA
    ZIP 92544
  • Facility Phone: 951 927-8570
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HONG TRINH TON-NU
  • NPI Number: 1477500965
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2223006
LAB Type Pharmacy
Facility Name WALGREENS #01080
Street 43200 STATE HIGHWAY 74
City HEMET
State CA
ZIP 92544
Phone 951 927-8570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director HONG TRINH TON-NU

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