05D2301479 CLIA NUMBER - WALGREENS 11735

Laboratory Demographics

  • CLIA Code: 05D2301479
  • Facility Name: WALGREENS 11735
  • Facility Address: 16100 VENTURA BLVD
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 788-6951
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAEED RADPARVAR
  • NPI Number: 1780815654
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301479
LAB Type Pharmacy
Facility Name WALGREENS 11735
Street 16100 VENTURA BLVD
City ENCINO
State CA
ZIP 91436
Phone 818 788-6951
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 SAEED RADPARVAR

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