05D2306379 CLIA NUMBER - WALGREENS 05881

Laboratory Demographics

  • CLIA Code: 05D2306379
  • Facility Name: WALGREENS 05881
  • Facility Address: 19501 BEACH BLVD
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Facility Phone: 714 969-1368
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LE M. DO
  • NPI Number: 1386659613
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2306379
LAB Type Pharmacy
Facility Name WALGREENS 05881
Street 19501 BEACH BLVD
City HUNTINGTON BEACH
State CA
ZIP 92648
Phone 714 969-1368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Pharmacy
Lab Director LE M. DO

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