05D2259305 CLIA NUMBER - WALGREENS #07575

Laboratory Demographics

  • CLIA Code: 05D2259305
  • Facility Name: WALGREENS #07575
  • Facility Address: 3643 PECK RD
    EL MONTE, CA
    ZIP 91731
  • Facility Phone: 626 442-7868
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGIE Y. NGUYEN
  • NPI Number: 1407043110
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2259305
LAB Type Pharmacy
Facility Name WALGREENS #07575
Street 3643 PECK RD
City EL MONTE
State CA
ZIP 91731
Phone 626 442-7868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Pharmacy
Lab Director ANGIE Y. NGUYEN

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