05D2260298 CLIA NUMBER - WALGREENS #07529

Laboratory Demographics

  • CLIA Code: 05D2260298
  • Facility Name: WALGREENS #07529
  • Facility Address: 27938 SLOAN CANYON RD
    CASTAIC, CA
    ZIP 91384
  • Facility Phone: 661 775-0840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAE HAN
  • NPI Number: 1972518983
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2260298
LAB Type Pharmacy
Facility Name WALGREENS #07529
Street 27938 SLOAN CANYON RD
City CASTAIC
State CA
ZIP 91384
Phone 661 775-0840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Pharmacy
Lab Director JAE HAN

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