05D2298734 CLIA NUMBER - WALGREENS # 05972

Laboratory Demographics

  • CLIA Code: 05D2298734
  • Facility Name: WALGREENS # 05972
  • Facility Address: 12001 EUCLID ST
    GARDEN GROVE, CA
    ZIP 92840
  • Facility Phone: 714 530-1071
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TOAN K. TRAN
  • NPI Number: 1811902190
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298734
LAB Type Pharmacy
Facility Name WALGREENS # 05972
Street 12001 EUCLID ST
City GARDEN GROVE
State CA
ZIP 92840
Phone 714 530-1071
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 TOAN K. TRAN

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