05D2301042 CLIA NUMBER - WALGREENS 07016

Laboratory Demographics

  • CLIA Code: 05D2301042
  • Facility Name: WALGREENS 07016
  • Facility Address: 3724 CRENSHAW BLVD
    LOS ANGELES, CA
    ZIP 90016
  • Facility Phone: 323 292-7261
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YAZMIN OQUINN
  • NPI Number: 1134176613
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301042
LAB Type Pharmacy
Facility Name WALGREENS 07016
Street 3724 CRENSHAW BLVD
City LOS ANGELES
State CA
ZIP 90016
Phone 323 292-7261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Pharmacy
Lab Director YAZMIN OQUINN

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