05D2302333 CLIA NUMBER - WALGREENS 09486

Laboratory Demographics

  • CLIA Code: 05D2302333
  • Facility Name: WALGREENS 09486
  • Facility Address: 18296 COLLIER AVE
    LAKE ELSINORE, CA
    ZIP 92530
  • Facility Phone: 951 471-2132
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOANNE Y. NAM
  • NPI Number: 1346254257
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2302333
LAB Type Pharmacy
Facility Name WALGREENS 09486
Street 18296 COLLIER AVE
City LAKE ELSINORE
State CA
ZIP 92530
Phone 951 471-2132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Pharmacy
Lab Director JOANNE Y. NAM

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