05D2301493 CLIA NUMBER - WALGREENS 11472

Laboratory Demographics

  • CLIA Code: 05D2301493
  • Facility Name: WALGREENS 11472
  • Facility Address: 3320 CHINO HILLS PKWY
    CHINO HILLS, CA
    ZIP 91709
  • Facility Phone: 909 393-9056
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAINI LEE
  • NPI Number: 1447487657
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301493
LAB Type Pharmacy
Facility Name WALGREENS 11472
Street 3320 CHINO HILLS PKWY
City CHINO HILLS
State CA
ZIP 91709
Phone 909 393-9056
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 KAINI LEE

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