05D2298246 CLIA NUMBER - WALGREENS 06255

Laboratory Demographics

  • CLIA Code: 05D2298246
  • Facility Name: WALGREENS 06255
  • Facility Address: 621 I ST
    CHULA VISTA, CA
    ZIP 91910
  • Facility Phone: 619 407-4057
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAK P. ALAN
  • NPI Number: 1467467746
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298246
LAB Type Pharmacy
Facility Name WALGREENS 06255
Street 621 I ST
City CHULA VISTA
State CA
ZIP 91910
Phone 619 407-4057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Pharmacy
Lab Director MAK P. ALAN

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