05D2297110 CLIA NUMBER - WALGREENS 05649

Laboratory Demographics

  • CLIA Code: 05D2297110
  • Facility Name: WALGREENS 05649
  • Facility Address: 821 GREENLEAF AVE
    WHITTIER, CA
    ZIP 90602
  • Facility Phone: 562 698-4906
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TONY J. CHU
  • NPI Number: 1801801196
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297110
LAB Type Pharmacy
Facility Name WALGREENS 05649
Street 821 GREENLEAF AVE
City WHITTIER
State CA
ZIP 90602
Phone 562 698-4906
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 TONY J. CHU

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