05D2301587 CLIA NUMBER - WALGREENS 11081

Laboratory Demographics

  • CLIA Code: 05D2301587
  • Facility Name: WALGREENS 11081
  • Facility Address: 1285 S MISSION RD
    FALLBROOK, CA
    ZIP 92028
  • Facility Phone: 760 451-2970
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THUY-TRANG T. DINH
  • NPI Number: 1891942108
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301587
LAB Type Pharmacy
Facility Name WALGREENS 11081
Street 1285 S MISSION RD
City FALLBROOK
State CA
ZIP 92028
Phone 760 451-2970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Pharmacy
Lab Director THUY-TRANG T. DINH

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This page was last updated on: 3/20/2025