05D2298067 CLIA NUMBER - WALGREENS 05591

Laboratory Demographics

  • CLIA Code: 05D2298067
  • Facility Name: WALGREENS 05591
  • Facility Address: 24930 WESTERN AVE
    HARBOR CITY, CA
    ZIP 90710
  • Facility Phone: 310 891-1264
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANSEN C. FILIO
  • NPI Number: 1003821380
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298067
LAB Type Pharmacy
Facility Name WALGREENS 05591
Street 24930 WESTERN AVE
City HARBOR CITY
State CA
ZIP 90710
Phone 310 891-1264
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Pharmacy
Lab Director JANSEN C. FILIO

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