05D2306392 CLIA NUMBER - WALGREENS 06094

Laboratory Demographics

  • CLIA Code: 05D2306392
  • Facility Name: WALGREENS 06094
  • Facility Address: 3005 MIDWAY DR
    SAN DIEGO, CA
    ZIP 92110
  • Facility Phone: 619 221-0834
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BILAL J. ALBTOUSH
  • NPI Number: 1154336485
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2306392
LAB Type Pharmacy
Facility Name WALGREENS 06094
Street 3005 MIDWAY DR
City SAN DIEGO
State CA
ZIP 92110
Phone 619 221-0834
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 BILAL J. ALBTOUSH

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