05D2297193 CLIA NUMBER - WALGREENS 05798

Laboratory Demographics

  • CLIA Code: 05D2297193
  • Facility Name: WALGREENS 05798
  • Facility Address: 401 N AZUSA
    COVINA, CA
    ZIP 91722
  • Facility Phone: 626 332-0519
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YVONNE Y. HSIEH
  • NPI Number: 1790990836
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297193
LAB Type Pharmacy
Facility Name WALGREENS 05798
Street 401 N AZUSA
City COVINA
State CA
ZIP 91722
Phone 626 332-0519
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 YVONNE Y. HSIEH

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