05D2299581 CLIA NUMBER - WALGREENS 09433

Laboratory Demographics

  • CLIA Code: 05D2299581
  • Facility Name: WALGREENS 09433
  • Facility Address: 3752 MISSION AVE
    OCEANSIDE, CA
    ZIP 92058
  • Facility Phone: 760 722-9409
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAKWANA MAHESH
  • NPI Number: 1629285382
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2299581
LAB Type Pharmacy
Facility Name WALGREENS 09433
Street 3752 MISSION AVE
City OCEANSIDE
State CA
ZIP 92058
Phone 760 722-9409
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 MAKWANA MAHESH

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