05D2300546 CLIA NUMBER - WALGREENS 12529

Laboratory Demographics

  • CLIA Code: 05D2300546
  • Facility Name: WALGREENS 12529
  • Facility Address: 305 N BREED ST
    LOS ANGELES, CA
    ZIP 90033
  • Facility Phone: 323 264-0347
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VERONICA TRUJILLO
  • NPI Number: 1861768327
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2300546
LAB Type Pharmacy
Facility Name WALGREENS 12529
Street 305 N BREED ST
City LOS ANGELES
State CA
ZIP 90033
Phone 323 264-0347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Pharmacy
Lab Director VERONICA TRUJILLO

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