05D2258587 CLIA NUMBER - WALGREENS #02712

Laboratory Demographics

  • CLIA Code: 05D2258587
  • Facility Name: WALGREENS #02712
  • Facility Address: 8044 LIMONITE AVE
    RIVERSIDE, CA
    ZIP 92509
  • Facility Phone: 951 685-0139
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMED ABOU-EL-SEOUD
  • NPI Number: 1215942313
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2258587
LAB Type Pharmacy
Facility Name WALGREENS #02712
Street 8044 LIMONITE AVE
City RIVERSIDE
State CA
ZIP 92509
Phone 951 685-0139
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Pharmacy
Lab Director AHMED ABOU-EL-SEOUD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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