05D2304508 CLIA NUMBER - WALGREENS 09842

Laboratory Demographics

  • CLIA Code: 05D2304508
  • Facility Name: WALGREENS 09842
  • Facility Address: 8030 IMPERIAL HWY
    DOWNEY, CA
    ZIP 90242
  • Facility Phone: 562 861-6186
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON J. MIN
  • NPI Number: 1497043749
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2304508
LAB Type Pharmacy
Facility Name WALGREENS 09842
Street 8030 IMPERIAL HWY
City DOWNEY
State CA
ZIP 90242
Phone 562 861-6186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Pharmacy
Lab Director JASON J. MIN

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