05D2297176 CLIA NUMBER - WALGREENS 05456

Laboratory Demographics

  • CLIA Code: 05D2297176
  • Facility Name: WALGREENS 05456
  • Facility Address: 1510 N SANTA FE AVE
    VISTA, CA
    ZIP 92083
  • Facility Phone: 760 724-3763
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHERINE HAAS
  • NPI Number: 1639184914
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297176
LAB Type Pharmacy
Facility Name WALGREENS 05456
Street 1510 N SANTA FE AVE
City VISTA
State CA
ZIP 92083
Phone 760 724-3763
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 CATHERINE HAAS

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