05D2298434 CLIA NUMBER - WALGREENS 06147

Laboratory Demographics

  • CLIA Code: 05D2298434
  • Facility Name: WALGREENS 06147
  • Facility Address: 2950 S ARCHIBALD AVE
    ONTARIO, CA
    ZIP 91761
  • Facility Phone: 909 923-9934
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DIANE CHOI
  • NPI Number: 1043225337
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298434
LAB Type Pharmacy
Facility Name WALGREENS 06147
Street 2950 S ARCHIBALD AVE
City ONTARIO
State CA
ZIP 91761
Phone 909 923-9934
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 DIANE CHOI

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