05D2259225 CLIA NUMBER - WALGREENS #05844

Laboratory Demographics

  • CLIA Code: 05D2259225
  • Facility Name: WALGREENS #05844
  • Facility Address: 215 N 2ND ST
    EL CAJON, CA
    ZIP 92021
  • Facility Phone: 619 401-0761
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SELINA L. LE
  • NPI Number: 1376558650
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2259225
LAB Type Pharmacy
Facility Name WALGREENS #05844
Street 215 N 2ND ST
City EL CAJON
State CA
ZIP 92021
Phone 619 401-0761
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 SELINA L. LE

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