05D2298372 CLIA NUMBER - WALGREENS 05743

Laboratory Demographics

  • CLIA Code: 05D2298372
  • Facility Name: WALGREENS 05743
  • Facility Address: 7560 TOPANGA CANYON BLVD
    CANOGA PARK, CA
    ZIP 91303
  • Facility Phone: 818 340-4031
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAIRA YSABEL R. ORQUETA
  • NPI Number: 1366457640
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298372
LAB Type Pharmacy
Facility Name WALGREENS 05743
Street 7560 TOPANGA CANYON BLVD
City CANOGA PARK
State CA
ZIP 91303
Phone 818 340-4031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Pharmacy
Lab Director SHAIRA YSABEL R. ORQUETA

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