05D2303022 CLIA NUMBER - WALGREENS #15094

Laboratory Demographics

  • CLIA Code: 05D2303022
  • Facility Name: WALGREENS #15094
  • Facility Address: 2055 N PERRIS BLVD STE A1
    PERRIS, CA
    ZIP 92571
  • Facility Phone: 951 943-8188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEANNE M. SNYDER
  • NPI Number: 1790087443
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2303022
LAB Type Pharmacy
Facility Name WALGREENS #15094
Street 2055 N PERRIS BLVD STE A1
City PERRIS
State CA
ZIP 92571
Phone 951 943-8188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Pharmacy
Lab Director LEANNE M. SNYDER

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