05D2295068 CLIA NUMBER - WALGREENS 02155

Laboratory Demographics

  • CLIA Code: 05D2295068
  • Facility Name: WALGREENS 02155
  • Facility Address: 1501 W WHITTIER BLVD
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 727-9117
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD H. LEE
  • NPI Number: 1073528089
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2295068
LAB Type Pharmacy
Facility Name WALGREENS 02155
Street 1501 W WHITTIER BLVD
City MONTEBELLO
State CA
ZIP 90640
Phone 323 727-9117
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 RICHARD H. LEE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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