05D2298431 CLIA NUMBER - WALGREENS 06931

Laboratory Demographics

  • CLIA Code: 05D2298431
  • Facility Name: WALGREENS 06931
  • Facility Address: 10407 SANTA MONICA BLVD
    LOS ANGELES, CA
    ZIP 90025
  • Facility Phone: 310 481-7123
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAMIN AMINI
  • NPI Number: 1164437497
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298431
LAB Type Pharmacy
Facility Name WALGREENS 06931
Street 10407 SANTA MONICA BLVD
City LOS ANGELES
State CA
ZIP 90025
Phone 310 481-7123
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 RAMIN AMINI

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