05D2299585 CLIA NUMBER - WALGREENS 06290

Laboratory Demographics

  • CLIA Code: 05D2299585
  • Facility Name: WALGREENS 06290
  • Facility Address: 937 N H ST
    LOMPOC, CA
    ZIP 93436
  • Facility Phone: 805 737-5601
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRANG NGO
  • NPI Number: 1093720328
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2299585
LAB Type Pharmacy
Facility Name WALGREENS 06290
Street 937 N H ST
City LOMPOC
State CA
ZIP 93436
Phone 805 737-5601
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 TRANG NGO

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This page was last updated on: 6/4/2025