05D2299586 CLIA NUMBER - WALGREENS 06347

Laboratory Demographics

  • CLIA Code: 05D2299586
  • Facility Name: WALGREENS 06347
  • Facility Address: 18515 DEVONSHIRE ST
    NORTHRIDGE, CA
    ZIP 91324
  • Facility Phone: 818 363-1067
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIGRAN GEZALIAN
  • NPI Number: 1225043516
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2299586
LAB Type Pharmacy
Facility Name WALGREENS 06347
Street 18515 DEVONSHIRE ST
City NORTHRIDGE
State CA
ZIP 91324
Phone 818 363-1067
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 TIGRAN GEZALIAN

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