05D2300310 CLIA NUMBER - WALGREENS 06516

Laboratory Demographics

  • CLIA Code: 05D2300310
  • Facility Name: WALGREENS 06516
  • Facility Address: 5467 WILSHIRE BLVD
    LOS ANGELES, CA
    ZIP 90036
  • Facility Phone: 323 525-0646
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NIKI LEE
  • NPI Number: 1932114261
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2300310
LAB Type Pharmacy
Facility Name WALGREENS 06516
Street 5467 WILSHIRE BLVD
City LOS ANGELES
State CA
ZIP 90036
Phone 323 525-0646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Pharmacy
Lab Director NIKI LEE

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