05D2256675 CLIA NUMBER - WALGREENS #07786

Laboratory Demographics

  • CLIA Code: 05D2256675
  • Facility Name: WALGREENS #07786
  • Facility Address: 8917 TRAUTWEIN RD
    RIVERSIDE, CA
    ZIP 92508
  • Facility Phone: 951 776-0470
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TUNG D. HUYNH
  • NPI Number: 1164437174
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2256675
LAB Type Pharmacy
Facility Name WALGREENS #07786
Street 8917 TRAUTWEIN RD
City RIVERSIDE
State CA
ZIP 92508
Phone 951 776-0470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Pharmacy
Lab Director TUNG D. HUYNH

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