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05D2293851 CLIA NUMBER - WALGREENS #05773

Laboratory Demographics

CLIA Number: 05D2293851

Facility Name: WALGREENS #05773

Facility Address:
11800 ARTESIA BLVD
ARTESIA, CA
ZIP 90701
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Facility Phone Number: 562 924-7718

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1356356638

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 05D2293851
LAB Type Pharmacy
Facility Name WALGREENS #05773
Street 11800 ARTESIA BLVD
City ARTESIA
State CA
ZIP 90701
Phone 562 924-7718
CertificateType 4
CertificateEffectiveDate 11/15/2023
CertificateExpirationDate 11/14/2025
FacilityType Waiver

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