05D2301049 CLIA NUMBER - WALGREENS 07036

Laboratory Demographics

  • CLIA Code: 05D2301049
  • Facility Name: WALGREENS 07036
  • Facility Address: 5451 W SUNSET BLVD
    LOS ANGELES, CA
    ZIP 90027
  • Facility Phone: 323 860-7970
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMIR F. TAWFICK
  • NPI Number: 1518972520
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301049
LAB Type Pharmacy
Facility Name WALGREENS 07036
Street 5451 W SUNSET BLVD
City LOS ANGELES
State CA
ZIP 90027
Phone 323 860-7970
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 SAMIR F. TAWFICK

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This page was last updated on: 6/4/2025