05D2303848 CLIA NUMBER - WALGREENS 01813

Laboratory Demographics

  • CLIA Code: 05D2303848
  • Facility Name: WALGREENS 01813
  • Facility Address: 18568 VENTURA BLVD
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 776-1363
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TINA C. TO
  • NPI Number: 1790990042
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2303848
LAB Type Pharmacy
Facility Name WALGREENS 01813
Street 18568 VENTURA BLVD
City TARZANA
State CA
ZIP 91356
Phone 818 776-1363
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 TINA C. TO

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This page was last updated on: 6/4/2025