05D2296823 CLIA NUMBER - WALGREENS 01081

Laboratory Demographics

  • CLIA Code: 05D2296823
  • Facility Name: WALGREENS 01081
  • Facility Address: 1101 S SANDERSON AVE
    HEMET, CA
    ZIP 92545
  • Facility Phone: 951 929-0379
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLEEN PHAM
  • NPI Number: 1346255353
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2296823
LAB Type Pharmacy
Facility Name WALGREENS 01081
Street 1101 S SANDERSON AVE
City HEMET
State CA
ZIP 92545
Phone 951 929-0379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Pharmacy
Lab Director CHARLEEN PHAM

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