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05D2299156 CLIA NUMBER - WALGREENS 07556

Laboratory Demographics

CLIA Number: 05D2299156

Facility Name: WALGREENS 07556

Facility Address:
28460 HASKELL CANYON RD
SANTA CLARITA, CA
ZIP 91390
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Facility Phone Number: 661 513-9240

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1013964592

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 05D2299156
LAB Type Pharmacy
Facility Name WALGREENS 07556
Street 28460 HASKELL CANYON RD
City SANTA CLARITA
State CA
ZIP 91390
Phone 661 513-9240
CertificateType 4
CertificateEffectiveDate 2/14/2024
CertificateExpirationDate 2/13/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024