05D2302495 CLIA NUMBER - WALGREENS 07751

Laboratory Demographics

  • CLIA Code: 05D2302495
  • Facility Name: WALGREENS 07751
  • Facility Address: 3507 CANNON RD
    OCEANSIDE, CA
    ZIP 92056
  • Facility Phone: 760 630-1327
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HELEN TRAN
  • NPI Number: 1578764023
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2302495
LAB Type Pharmacy
Facility Name WALGREENS 07751
Street 3507 CANNON RD
City OCEANSIDE
State CA
ZIP 92056
Phone 760 630-1327
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 HELEN TRAN

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