05D2302379 CLIA NUMBER - WALGREENS 06976

Laboratory Demographics

  • CLIA Code: 05D2302379
  • Facility Name: WALGREENS 06976
  • Facility Address: 37160 47TH ST E
    PALMDALE, CA
    ZIP 93552
  • Facility Phone: 661 236-0015
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THIEN T. LUONG
  • NPI Number: 1073528303
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2302379
LAB Type Pharmacy
Facility Name WALGREENS 06976
Street 37160 47TH ST E
City PALMDALE
State CA
ZIP 93552
Phone 661 236-0015
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 THIEN T. LUONG

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