05D2302500 CLIA NUMBER - WALGREENS 07765

Laboratory Demographics

  • CLIA Code: 05D2302500
  • Facility Name: WALGREENS 07765
  • Facility Address: 47900 WASHINGTON ST
    LA QUINTA, CA
    ZIP 92253
  • Facility Phone: 760 771-1526
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDA DORITH
  • NPI Number: 1255346474
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2302500
LAB Type Pharmacy
Facility Name WALGREENS 07765
Street 47900 WASHINGTON ST
City LA QUINTA
State CA
ZIP 92253
Phone 760 771-1526
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 ANDA DORITH

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