05D2303498 CLIA NUMBER - WALGREENS 10202

Laboratory Demographics

  • CLIA Code: 05D2303498
  • Facility Name: WALGREENS 10202
  • Facility Address: 2245 S EUCLID AVE
    ONTARIO, CA
    ZIP 91762
  • Facility Phone: 909 984-0140
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROZITA TAGHDIS
  • NPI Number: 1649400953
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2303498
LAB Type Pharmacy
Facility Name WALGREENS 10202
Street 2245 S EUCLID AVE
City ONTARIO
State CA
ZIP 91762
Phone 909 984-0140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Pharmacy
Lab Director ROZITA TAGHDIS

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