05D2298742 CLIA NUMBER - WALGREENS 05506

Laboratory Demographics

  • CLIA Code: 05D2298742
  • Facility Name: WALGREENS 05506
  • Facility Address: 118 E BASE LINE RD
    RIALTO, CA
    ZIP 92376
  • Facility Phone: 909 562-0267
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THI TRAN
  • NPI Number: 1376558601
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2298742
LAB Type Pharmacy
Facility Name WALGREENS 05506
Street 118 E BASE LINE RD
City RIALTO
State CA
ZIP 92376
Phone 909 562-0267
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 THI TRAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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