05D2296829 CLIA NUMBER - WALGREENS 01995

Laboratory Demographics

  • CLIA Code: 05D2296829
  • Facility Name: WALGREENS 01995
  • Facility Address: 40420 MURRIETA HOT SPRINGS RD
    MURRIETA, CA
    ZIP 92563
  • Facility Phone: 951 698-7495
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOMINIE E. SERRANO
  • NPI Number: 1588679674
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2296829
LAB Type Pharmacy
Facility Name WALGREENS 01995
Street 40420 MURRIETA HOT SPRINGS RD
City MURRIETA
State CA
ZIP 92563
Phone 951 698-7495
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 DOMINIE E. SERRANO

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