05D2299156 CLIA NUMBER - WALGREENS 07556

Laboratory Demographics

  • CLIA Code: 05D2299156
  • Facility Name: WALGREENS 07556
  • Facility Address: 28460 HASKELL CANYON RD
    SANTA CLARITA, CA
    ZIP 91390
  • Facility Phone: 661 513-9240
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GIZELLE NODALO
  • NPI Number: 1013964592
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Pharmacy
Lab Director GIZELLE NODALO

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