05D2297049 CLIA NUMBER - WALGREENS 04474

Laboratory Demographics

  • CLIA Code: 05D2297049
  • Facility Name: WALGREENS 04474
  • Facility Address: 2501 W MAGNOLIA BLVD
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 818 841-1685
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDA LE
  • NPI Number: 1194730424
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2297049
LAB Type Pharmacy
Facility Name WALGREENS 04474
Street 2501 W MAGNOLIA BLVD
City BURBANK
State CA
ZIP 91505
Phone 818 841-1685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Pharmacy
Lab Director LINDA LE

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