05D2295211 CLIA NUMBER - WALGREENS 02622

Laboratory Demographics

  • CLIA Code: 05D2295211
  • Facility Name: WALGREENS 02622
  • Facility Address: 4142 PACIFIC COAST HWY
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 310 375-9019
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GAURAV V. SHINDE
  • NPI Number: 1154338150
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295211
LAB Type Pharmacy
Facility Name WALGREENS 02622
Street 4142 PACIFIC COAST HWY
City TORRANCE
State CA
ZIP 90505
Phone 310 375-9019
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Pharmacy
Lab Director GAURAV V. SHINDE

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