05D2301474 CLIA NUMBER - WALGREENS 11918

Laboratory Demographics

  • CLIA Code: 05D2301474
  • Facility Name: WALGREENS 11918
  • Facility Address: 11000 VENTURA BLVD
    STUDIO CITY, CA
    ZIP 91604
  • Facility Phone: 818 761-6563
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NOOSHIN Y. BARKHORDARI
  • NPI Number: 1366718587
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301474
LAB Type Pharmacy
Facility Name WALGREENS 11918
Street 11000 VENTURA BLVD
City STUDIO CITY
State CA
ZIP 91604
Phone 818 761-6563
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 NOOSHIN Y. BARKHORDARI

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