05D2298526 CLIA NUMBER - WALGREENS 05525

Laboratory Demographics

  • CLIA Code: 05D2298526
  • Facility Name: WALGREENS 05525
  • Facility Address: 7155 VAN NUYS BLVD
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 989-4281
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANI KANJ
  • NPI Number: 1477568756
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298526
LAB Type Physician Office
Facility Name WALGREENS 05525
Street 7155 VAN NUYS BLVD
City VAN NUYS
State CA
ZIP 91405
Phone 818 989-4281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director AMANI KANJ

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