05D2295554 CLIA NUMBER - WALGREENS 04227

Laboratory Demographics

  • CLIA Code: 05D2295554
  • Facility Name: WALGREENS 04227
  • Facility Address: 903 E HUNTINGTON DR
    MONROVIA, CA
    ZIP 91016
  • Facility Phone: 626 256-3247
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIM CHENG
  • NPI Number: 1841205135
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2295554
LAB Type Pharmacy
Facility Name WALGREENS 04227
Street 903 E HUNTINGTON DR
City MONROVIA
State CA
ZIP 91016
Phone 626 256-3247
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 TIM CHENG

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