05D2259228 CLIA NUMBER - WALGREENS #6974

Laboratory Demographics

  • CLIA Code: 05D2259228
  • Facility Name: WALGREENS #6974
  • Facility Address: 3331 W CENTURY BLVD
    INGLEWOOD, CA
    ZIP 90303
  • Facility Phone: 310 671-1523
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT R. GUZIK
  • NPI Number: 1942215041
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2259228
LAB Type Pharmacy
Facility Name WALGREENS #6974
Street 3331 W CENTURY BLVD
City INGLEWOOD
State CA
ZIP 90303
Phone 310 671-1523
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 SCOTT R. GUZIK

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