05D2297173 CLIA NUMBER - WALGREENS 05455

Laboratory Demographics

  • CLIA Code: 05D2297173
  • Facility Name: WALGREENS 05455
  • Facility Address: 111 W WASHINGTON AVE
    ESCONDIDO, CA
    ZIP 92025
  • Facility Phone: 760 291-0299
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNY TRUONG
  • NPI Number: 1841205127
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297173
LAB Type Pharmacy
Facility Name WALGREENS 05455
Street 111 W WASHINGTON AVE
City ESCONDIDO
State CA
ZIP 92025
Phone 760 291-0299
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 JENNY TRUONG

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