05D2294559 CLIA NUMBER - WALGREENS #06680

Laboratory Demographics

CLIA Number: 05D2294559

Facility Name: WALGREENS #06680

Facility Address:
9031 ROSECRANS AVE
BELLFLOWER, CA
ZIP 90706
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Facility Phone Number: 562 531-1557

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1811902141

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 05D2294559
LAB Type Pharmacy
Facility Name WALGREENS #06680
Street 9031 ROSECRANS AVE
City BELLFLOWER
State CA
ZIP 90706
Phone 562 531-1557
CertificateType 4
CertificateEffectiveDate 11/28/2023
CertificateExpirationDate 11/27/2025
FacilityType Waiver

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