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05D2295211 CLIA NUMBER - WALGREENS 02622

Laboratory Demographics

CLIA Number: 05D2295211

Facility Name: WALGREENS 02622

Facility Address:
4142 PACIFIC COAST HWY
TORRANCE, CA
ZIP 90505
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Facility Phone Number: 310 375-9019

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1154338150

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 05D2295211
LAB Type Pharmacy
Facility Name WALGREENS 02622
Street 4142 PACIFIC COAST HWY
City TORRANCE
State CA
ZIP 90505
Phone 310 375-9019
CertificateType 4
CertificateEffectiveDate 12/6/2023
CertificateExpirationDate 12/5/2025
FacilityType Waiver

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