05D2302029 CLIA NUMBER - WALGREENS 07343

Laboratory Demographics

  • CLIA Code: 05D2302029
  • Facility Name: WALGREENS 07343
  • Facility Address: 5001 W AVENUE N
    LANCASTER, CA
    ZIP 93536
  • Facility Phone: 661 772-5892
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AUDREY M. NGUYEN
  • NPI Number: 1720211824
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2302029
LAB Type Pharmacy
Facility Name WALGREENS 07343
Street 5001 W AVENUE N
City LANCASTER
State CA
ZIP 93536
Phone 661 772-5892
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Pharmacy
Lab Director AUDREY M. NGUYEN

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