05D2301501 CLIA NUMBER - WALGREENS 11241

Laboratory Demographics

  • CLIA Code: 05D2301501
  • Facility Name: WALGREENS 11241
  • Facility Address: 26531 ALISO CREEK RD
    ALISO VIEJO, CA
    ZIP 92656
  • Facility Phone: 949 448-0082
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER SUNG
  • NPI Number: 1295983252
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301501
LAB Type Pharmacy
Facility Name WALGREENS 11241
Street 26531 ALISO CREEK RD
City ALISO VIEJO
State CA
ZIP 92656
Phone 949 448-0082
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 JENNIFER SUNG

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