05D2298735 CLIA NUMBER - WALGREENS 06017

Laboratory Demographics

  • CLIA Code: 05D2298735
  • Facility Name: WALGREENS 06017
  • Facility Address: 2840 W AVENUE L
    LANCASTER, CA
    ZIP 93536
  • Facility Phone: 661 943-8683
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHEYDA FARHOOMAND
  • NPI Number: 1851306146
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298735
LAB Type Pharmacy
Facility Name WALGREENS 06017
Street 2840 W AVENUE L
City LANCASTER
State CA
ZIP 93536
Phone 661 943-8683
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 SHEYDA FARHOOMAND

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