05D2293851 CLIA NUMBER - WALGREENS #05773

Laboratory Demographics

  • CLIA Code: 05D2293851
  • Facility Name: WALGREENS #05773
  • Facility Address: 11800 ARTESIA BLVD
    ARTESIA, CA
    ZIP 90701
  • Facility Phone: 562 924-7718
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL B. QUAN
  • NPI Number: 1356356638
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Pharmacy
Lab Director DANIEL B. QUAN

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