05D2298710 CLIA NUMBER - WALGREENS 05527

Laboratory Demographics

  • CLIA Code: 05D2298710
  • Facility Name: WALGREENS 05527
  • Facility Address: 25011 ALESSANDRO BLVD
    MORENO VALLEY, CA
    ZIP 92553
  • Facility Phone: 951 485-1116
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIFFANY T. HOANG
  • NPI Number: 1114932449
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298710
LAB Type Pharmacy
Facility Name WALGREENS 05527
Street 25011 ALESSANDRO BLVD
City MORENO VALLEY
State CA
ZIP 92553
Phone 951 485-1116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Pharmacy
Lab Director TIFFANY T. HOANG

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