05D2298729 CLIA NUMBER - WALGREENS 05879

Laboratory Demographics

  • CLIA Code: 05D2298729
  • Facility Name: WALGREENS 05879
  • Facility Address: 3201 W 6TH ST
    LOS ANGELES, CA
    ZIP 90020
  • Facility Phone: 213 251-0179
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL LEE
  • NPI Number: 1285649566
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298729
LAB Type Pharmacy
Facility Name WALGREENS 05879
Street 3201 W 6TH ST
City LOS ANGELES
State CA
ZIP 90020
Phone 213 251-0179
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 DANIEL LEE

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