05D2302494 CLIA NUMBER - WALGREENS 09883

Laboratory Demographics

  • CLIA Code: 05D2302494
  • Facility Name: WALGREENS 09883
  • Facility Address: 6316 IRVINE BLVD
    IRVINE, CA
    ZIP 92620
  • Facility Phone: 949 451-1563
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM VO
  • NPI Number: 1881748143
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2302494
LAB Type Pharmacy
Facility Name WALGREENS 09883
Street 6316 IRVINE BLVD
City IRVINE
State CA
ZIP 92620
Phone 949 451-1563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Pharmacy
Lab Director KIM VO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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