05D2301259 CLIA NUMBER - WALGREENS 07176

Laboratory Demographics

  • CLIA Code: 05D2301259
  • Facility Name: WALGREENS 07176
  • Facility Address: 8766 NAVAJO RD
    SAN DIEGO, CA
    ZIP 92119
  • Facility Phone: 619 667-8767
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MISTY COLE
  • NPI Number: 1730461633
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301259
LAB Type Pharmacy
Facility Name WALGREENS 07176
Street 8766 NAVAJO RD
City SAN DIEGO
State CA
ZIP 92119
Phone 619 667-8767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Pharmacy
Lab Director MISTY COLE

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