05D2300555 CLIA NUMBER - WALGREENS 11785

Laboratory Demographics

  • CLIA Code: 05D2300555
  • Facility Name: WALGREENS 11785
  • Facility Address: 6100 PACIFIC BLVD
    HUNTINGTON PARK, CA
    ZIP 90255
  • Facility Phone: 323 826-9775
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASMINE R. ALBAKRI
  • NPI Number: 1891941738
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2300555
LAB Type Pharmacy
Facility Name WALGREENS 11785
Street 6100 PACIFIC BLVD
City HUNTINGTON PARK
State CA
ZIP 90255
Phone 323 826-9775
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 JASMINE R. ALBAKRI

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