05D2298285 CLIA NUMBER - WALGREENS 06445

Laboratory Demographics

  • CLIA Code: 05D2298285
  • Facility Name: WALGREENS 06445
  • Facility Address: 8770 W PICO BLVD
    LOS ANGELES, CA
    ZIP 90035
  • Facility Phone: 310 275-2117
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FARNAZ ABRISHAMI
  • NPI Number: 1912912296
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298285
LAB Type Pharmacy
Facility Name WALGREENS 06445
Street 8770 W PICO BLVD
City LOS ANGELES
State CA
ZIP 90035
Phone 310 275-2117
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 FARNAZ ABRISHAMI

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