05D2298531 CLIA NUMBER - WALGREENS 05556

Laboratory Demographics

  • CLIA Code: 05D2298531
  • Facility Name: WALGREENS 05556
  • Facility Address: 17051 BEAR VALLEY RD
    HESPERIA, CA
    ZIP 92345
  • Facility Phone: 760 948-7901
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LETICIA ESTRADA ARREOLA
  • NPI Number: 1104832807
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298531
LAB Type Pharmacy
Facility Name WALGREENS 05556
Street 17051 BEAR VALLEY RD
City HESPERIA
State CA
ZIP 92345
Phone 760 948-7901
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 Pharmacy
Lab Director LETICIA ESTRADA ARREOLA

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