05D2303843 CLIA NUMBER - WALGREENS 11786

Laboratory Demographics

  • CLIA Code: 05D2303843
  • Facility Name: WALGREENS 11786
  • Facility Address: 5695 ALTON PKWY
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 949 726-0716
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHOEBE MAI
  • NPI Number: 1508021304
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2303843
LAB Type Pharmacy
Facility Name WALGREENS 11786
Street 5695 ALTON PKWY
City IRVINE
State CA
ZIP 92618
Phone 949 726-0716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Pharmacy
Lab Director PHOEBE MAI

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