05D2300685 CLIA NUMBER - WALGREENS 06854

Laboratory Demographics

  • CLIA Code: 05D2300685
  • Facility Name: WALGREENS 06854
  • Facility Address: 2222 COLORADO BLVD
    LOS ANGELES, CA
    ZIP 90041
  • Facility Phone: 323 254-4593
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JULIE SAN
  • NPI Number: 1265447270
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2300685
LAB Type Pharmacy
Facility Name WALGREENS 06854
Street 2222 COLORADO BLVD
City LOS ANGELES
State CA
ZIP 90041
Phone 323 254-4593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Pharmacy
Lab Director JULIE SAN

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