05D2297102 CLIA NUMBER - WALGREENS 05616

Laboratory Demographics

  • CLIA Code: 05D2297102
  • Facility Name: WALGREENS 05616
  • Facility Address: 5913 CARSON
    LAKEWOOD, CA
    ZIP 90713
  • Facility Phone: 562 429-9120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SANDY DUONG
  • NPI Number: 1720093008
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2297102
LAB Type Pharmacy
Facility Name WALGREENS 05616
Street 5913 CARSON
City LAKEWOOD
State CA
ZIP 90713
Phone 562 429-9120
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 SANDY DUONG

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