05D2307145 CLIA NUMBER - WALGREENS 07867

Laboratory Demographics

  • CLIA Code: 05D2307145
  • Facility Name: WALGREENS 07867
  • Facility Address: 1430 EASTLAKE PKWY
    CHULA VISTA, CA
    ZIP 91915
  • Facility Phone: 619 591-7042
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YUE XIAO
  • NPI Number: 1700891710
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307145
LAB Type Pharmacy
Facility Name WALGREENS 07867
Street 1430 EASTLAKE PKWY
City CHULA VISTA
State CA
ZIP 91915
Phone 619 591-7042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Pharmacy
Lab Director YUE XIAO

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