05D2259221 CLIA NUMBER - WALGREENS #04207

Laboratory Demographics

  • CLIA Code: 05D2259221
  • Facility Name: WALGREENS #04207
  • Facility Address: 24081 EL TORO RD
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 206-9632
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RENEE KING
  • NPI Number: 1740295039
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2259221
LAB Type Pharmacy
Facility Name WALGREENS #04207
Street 24081 EL TORO RD
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 206-9632
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 RENEE KING

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This page was last updated on: 6/4/2025