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05D2259305 CLIA NUMBER - WALGREENS #07575

Laboratory Demographics

CLIA Number: 05D2259305

Facility Name: WALGREENS #07575

Facility Address:
3643 PECK RD
EL MONTE, CA
ZIP 91731
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Facility Phone Number: 626 442-7868

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1407043110

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 5/4/2024
CertificateExpirationDate 5/3/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024