05D2259458 CLIA NUMBER - WALGREENS #07714

Laboratory Demographics

  • CLIA Code: 05D2259458
  • Facility Name: WALGREENS #07714
  • Facility Address: 1400 BEAUMONT AVE
    BEAUMONT, CA
    ZIP 92223
  • Facility Phone: 951 769-4295
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BASI S. AMANPREET
  • NPI Number: 1083629091
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2259458
LAB Type Pharmacy
Facility Name WALGREENS #07714
Street 1400 BEAUMONT AVE
City BEAUMONT
State CA
ZIP 92223
Phone 951 769-4295
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Pharmacy
Lab Director BASI S. AMANPREET

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