05D2259465 CLIA NUMBER - WALGREENS #13833

Laboratory Demographics

  • CLIA Code: 05D2259465
  • Facility Name: WALGREENS #13833
  • Facility Address: 10992 MAGNOLIA AVE
    RIVERSIDE, CA
    ZIP 92505
  • Facility Phone: 951 688-4154
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RENJITH RAUINDRAN
  • NPI Number: 1396750626
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2259465
LAB Type Pharmacy
Facility Name WALGREENS #13833
Street 10992 MAGNOLIA AVE
City RIVERSIDE
State CA
ZIP 92505
Phone 951 688-4154
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 RENJITH RAUINDRAN

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