05D2298275 CLIA NUMBER - WALGREENS 06438

Laboratory Demographics

  • CLIA Code: 05D2298275
  • Facility Name: WALGREENS 06438
  • Facility Address: 12490 CENTRAL AVE
    CHINO, CA
    ZIP 91710
  • Facility Phone: 909 464-9520
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINH NGUYEN
  • NPI Number: 1518972801
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298275
LAB Type Pharmacy
Facility Name WALGREENS 06438
Street 12490 CENTRAL AVE
City CHINO
State CA
ZIP 91710
Phone 909 464-9520
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 LINH NGUYEN

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This page was last updated on: 6/4/2025