05D2297111 CLIA NUMBER - WALGREENS 05672

Laboratory Demographics

  • CLIA Code: 05D2297111
  • Facility Name: WALGREENS 05672
  • Facility Address: 2000 W WHITTTIER BLVD
    LA HABRA, CA
    ZIP 90631
  • Facility Phone: 562 690-5567
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY LEE
  • NPI Number: 1679589246
  • Taxonomy: 333600000X - Pharmacy

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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
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 AMY LEE

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