05D2298732 CLIA NUMBER - WALGREENS 05771

Laboratory Demographics

  • CLIA Code: 05D2298732
  • Facility Name: WALGREENS 05771
  • Facility Address: 17522 BEACH BLVD
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Facility Phone: (714) 596-5272
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEA A. SANDOVAL
  • NPI Number: 1134135700
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298732
LAB Type Pharmacy
Facility Name WALGREENS 05771
Street 17522 BEACH BLVD
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone 7145965272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2026
Certificate Expiration Date 2/6/2028
Facility Type Pharmacy
Lab Director LEA A. SANDOVAL

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This page was last updated on: 5/18/2026