05D2300986 CLIA NUMBER - WALGREENS 06975

Laboratory Demographics

  • CLIA Code: 05D2300986
  • Facility Name: WALGREENS 06975
  • Facility Address: 27982 LA PAZ RD
    LAGUNA NIGUEL, CA
    ZIP 92677
  • Facility Phone: 949 360-8215
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VAN KIEU
  • NPI Number: 1972518207
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2300986
LAB Type Pharmacy
Facility Name WALGREENS 06975
Street 27982 LA PAZ RD
City LAGUNA NIGUEL
State CA
ZIP 92677
Phone 949 360-8215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Pharmacy
Lab Director VAN KIEU

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This page was last updated on: 3/20/2025