05D2301438 CLIA NUMBER - WALGREENS 12057

Laboratory Demographics

  • CLIA Code: 05D2301438
  • Facility Name: WALGREENS 12057
  • Facility Address: 1050 N HIGHLAND AVE
    LOS ANGELES, CA
    ZIP 90038
  • Facility Phone: 323 463-1692
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL E. COPE
  • NPI Number: 1568756039
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301438
LAB Type Pharmacy
Facility Name WALGREENS 12057
Street 1050 N HIGHLAND AVE
City LOS ANGELES
State CA
ZIP 90038
Phone 323 463-1692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Pharmacy
Lab Director RACHEL E. COPE

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