05D2298603 CLIA NUMBER - WALGREENS 05038

Laboratory Demographics

  • CLIA Code: 05D2298603
  • Facility Name: WALGREENS 05038
  • Facility Address: 1661 W FLORIDA AVE
    HEMET, CA
    ZIP 92543
  • Facility Phone: 951 929-5351
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHUONG KIM TRAN
  • NPI Number: 1114932480
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298603
LAB Type Pharmacy
Facility Name WALGREENS 05038
Street 1661 W FLORIDA AVE
City HEMET
State CA
ZIP 92543
Phone 951 929-5351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Pharmacy
Lab Director PHUONG KIM TRAN

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