05D2298417 CLIA NUMBER - WALGREENS 06700

Laboratory Demographics

  • CLIA Code: 05D2298417
  • Facility Name: WALGREENS 06700
  • Facility Address: 5224 COLDWATER CANYON AVE
    VAN NUYS, CA
    ZIP 91401
  • Facility Phone: 818 487-2715
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEPHANIE T. LUE
  • NPI Number: 1417962747
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298417
LAB Type Pharmacy
Facility Name WALGREENS 06700
Street 5224 COLDWATER CANYON AVE
City VAN NUYS
State CA
ZIP 91401
Phone 818 487-2715
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 STEPHANIE T. LUE

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