05D2297096 CLIA NUMBER - WALGREENS # 05526

Laboratory Demographics

  • CLIA Code: 05D2297096
  • Facility Name: WALGREENS # 05526
  • Facility Address: 1932 WILSHIRE BLVD
    SANTA MONICA, CA
    ZIP 90403
  • Facility Phone: 310 829-9264
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYLER J. NAGY
  • NPI Number: 1285649517
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2297096
LAB Type Pharmacy
Facility Name WALGREENS # 05526
Street 1932 WILSHIRE BLVD
City SANTA MONICA
State CA
ZIP 90403
Phone 310 829-9264
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 TYLER J. NAGY

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