05D2297941 CLIA NUMBER - WALGREENS 06250

Laboratory Demographics

  • CLIA Code: 05D2297941
  • Facility Name: WALGREENS 06250
  • Facility Address: 1028 S SAN FERNANDO BLVD
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 818 729-9283
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GAYANEH SHAHBAZIAN
  • NPI Number: 1528073814
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297941
LAB Type Pharmacy
Facility Name WALGREENS 06250
Street 1028 S SAN FERNANDO BLVD
City BURBANK
State CA
ZIP 91502
Phone 818 729-9283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Pharmacy
Lab Director GAYANEH SHAHBAZIAN

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