05D2295966 CLIA NUMBER - WALGREENS 02623

Laboratory Demographics

  • CLIA Code: 05D2295966
  • Facility Name: WALGREENS 02623
  • Facility Address: 1111 THIRD AVE
    CHULA VISTA, CA
    ZIP 91911
  • Facility Phone: 619 691-1308
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATASHA ALVARADO
  • NPI Number: 1144235151
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295966
LAB Type Pharmacy
Facility Name WALGREENS 02623
Street 1111 THIRD AVE
City CHULA VISTA
State CA
ZIP 91911
Phone 619 691-1308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Pharmacy
Lab Director NATASHA ALVARADO

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