05D2259220 CLIA NUMBER - WALGREENS #07869

Laboratory Demographics

  • CLIA Code: 05D2259220
  • Facility Name: WALGREENS #07869
  • Facility Address: 885 EUCLID AVE
    NATIONAL CITY, CA
    ZIP 91950
  • Facility Phone: 619 267-1950
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AXXEL PALOMARES
  • NPI Number: 1619982626
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2259220
LAB Type Pharmacy
Facility Name WALGREENS #07869
Street 885 EUCLID AVE
City NATIONAL CITY
State CA
ZIP 91950
Phone 619 267-1950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Pharmacy
Lab Director AXXEL PALOMARES

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