05D2223007 CLIA NUMBER - WALGREENS #02156

Laboratory Demographics

  • CLIA Code: 05D2223007
  • Facility Name: WALGREENS #02156
  • Facility Address: 2551 W MAIN ST
    ALHAMBRA, CA
    ZIP 91801
  • Facility Phone: 626 281-1637
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL V. DU
  • NPI Number: 1033124136
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2223007
LAB Type Pharmacy
Facility Name WALGREENS #02156
Street 2551 W MAIN ST
City ALHAMBRA
State CA
ZIP 91801
Phone 626 281-1637
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 MICHAEL V. DU

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