05D2297170 CLIA NUMBER - WALGREENS 05349

Laboratory Demographics

  • CLIA Code: 05D2297170
  • Facility Name: WALGREENS 05349
  • Facility Address: 1311 E FLORIDA AVE
    HEMET, CA
    ZIP 92544
  • Facility Phone: 951 652-5776
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE KWOK
  • NPI Number: 1679589071
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297170
LAB Type Pharmacy
Facility Name WALGREENS 05349
Street 1311 E FLORIDA AVE
City HEMET
State CA
ZIP 92544
Phone 951 652-5776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Pharmacy
Lab Director MICHELLE KWOK

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