05D2297605 CLIA NUMBER - WALGREENS #06125

Laboratory Demographics

  • CLIA Code: 05D2297605
  • Facility Name: WALGREENS #06125
  • Facility Address: 6325 ROSEMEAD BLVD
    SAN GABRIEL, CA
    ZIP 91775
  • Facility Phone: 626 285-5107
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARTIN ESTRADA
  • NPI Number: 1265447551
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297605
LAB Type Pharmacy
Facility Name WALGREENS #06125
Street 6325 ROSEMEAD BLVD
City SAN GABRIEL
State CA
ZIP 91775
Phone 626 285-5107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Pharmacy
Lab Director MARTIN ESTRADA

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