05D2307147 CLIA NUMBER - WALGREENS 07826

Laboratory Demographics

  • CLIA Code: 05D2307147
  • Facility Name: WALGREENS 07826
  • Facility Address: 13231 VICTORY BLVD
    VAN NUYS, CA
    ZIP 91401
  • Facility Phone: 818 623-9358
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSALYN PAEZ
  • NPI Number: 1518974518
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307147
LAB Type Pharmacy
Facility Name WALGREENS 07826
Street 13231 VICTORY BLVD
City VAN NUYS
State CA
ZIP 91401
Phone 818 623-9358
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 ROSALYN PAEZ

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