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05D2301501 CLIA NUMBER - WALGREENS 11241

Laboratory Demographics

CLIA Number: 05D2301501

Facility Name: WALGREENS 11241

Facility Address:
26531 ALISO CREEK RD
ALISO VIEJO, CA
ZIP 92656
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Facility Phone Number: 949 448-0082

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1295983252

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 4
CertificateEffectiveDate 3/26/2024
CertificateExpirationDate 3/25/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024