05D2299576 CLIA NUMBER - WALGREENS 07175

Laboratory Demographics

  • CLIA Code: 05D2299576
  • Facility Name: WALGREENS 07175
  • Facility Address: 1344 W REDONDO BEACH BLVD
    GARDENA, CA
    ZIP 90247
  • Facility Phone: 310 353-5726
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EPHRAIM V. ALVARO
  • NPI Number: 1104831296
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2299576
LAB Type Pharmacy
Facility Name WALGREENS 07175
Street 1344 W REDONDO BEACH BLVD
City GARDENA
State CA
ZIP 90247
Phone 310 353-5726
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Pharmacy
Lab Director EPHRAIM V. ALVARO

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