05D2295546 CLIA NUMBER - WALGREENS 03636

Laboratory Demographics

  • CLIA Code: 05D2295546
  • Facility Name: WALGREENS 03636
  • Facility Address: 3237 E CHAPMAN AVE
    ORANGE, CA
    ZIP 92869
  • Facility Phone: 714 538-5609
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LE PHUONGVI
  • NPI Number: 1891700175
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295546
LAB Type Pharmacy
Facility Name WALGREENS 03636
Street 3237 E CHAPMAN AVE
City ORANGE
State CA
ZIP 92869
Phone 714 538-5609
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director LE PHUONGVI

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