05D2295042 CLIA NUMBER - WALGREENS 01750

Laboratory Demographics

  • CLIA Code: 05D2295042
  • Facility Name: WALGREENS 01750
  • Facility Address: 1250 E CHAPMAN AVE
    FULLERTON, CA
    ZIP 92831
  • Facility Phone: 714 680-9124
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHLEEN NGUYEN
  • NPI Number: 1497760789
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295042
LAB Type Pharmacy
Facility Name WALGREENS 01750
Street 1250 E CHAPMAN AVE
City FULLERTON
State CA
ZIP 92831
Phone 714 680-9124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Pharmacy
Lab Director KATHLEEN NGUYEN

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