05D2294039 CLIA NUMBER - WALGREENS 05744

Laboratory Demographics

  • CLIA Code: 05D2294039
  • Facility Name: WALGREENS 05744
  • Facility Address: 128 S STATE COLLEGE BLVD
    ANAHEIM, CA
    ZIP 92806
  • Facility Phone: 714 778-2519
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EAINDRA TINT
  • NPI Number: 1487669719
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2294039
LAB Type Pharmacy
Facility Name WALGREENS 05744
Street 128 S STATE COLLEGE BLVD
City ANAHEIM
State CA
ZIP 92806
Phone 714 778-2519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Pharmacy
Lab Director EAINDRA TINT

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