05D2298274 CLIA NUMBER - WALGREENS 06413

Laboratory Demographics

  • CLIA Code: 05D2298274
  • Facility Name: WALGREENS 06413
  • Facility Address: 230 N LA BREA AVE
    INGLEWOOD, CA
    ZIP 90301
  • Facility Phone: 310 671-2471
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE I. NWIGWE
  • NPI Number: 1174538466
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298274
LAB Type Pharmacy
Facility Name WALGREENS 06413
Street 230 N LA BREA AVE
City INGLEWOOD
State CA
ZIP 90301
Phone 310 671-2471
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 DANIELLE I. NWIGWE

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