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05D2297111 CLIA NUMBER - WALGREENS 05672

Laboratory Demographics

CLIA Number: 05D2297111

Facility Name: WALGREENS 05672

Facility Address:
2000 W WHITTTIER BLVD
LA HABRA, CA
ZIP 90631
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Facility Phone Number: 562 690-5567

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1679589246

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 05D2297111
LAB Type Pharmacy
Facility Name WALGREENS 05672
Street 2000 W WHITTTIER BLVD
City LA HABRA
State CA
ZIP 90631
Phone 562 690-5567
CertificateType 4
CertificateEffectiveDate 1/10/2024
CertificateExpirationDate 1/9/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024