05D2307148 CLIA NUMBER - WALGREENS 07481

Laboratory Demographics

  • CLIA Code: 05D2307148
  • Facility Name: WALGREENS 07481
  • Facility Address: 22930 S WESTERN AVE
    TORRANCE, CA
    ZIP 90501
  • Facility Phone: 310 517-1851
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE PARK
  • NPI Number: 1831104124
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307148
LAB Type Pharmacy
Facility Name WALGREENS 07481
Street 22930 S WESTERN AVE
City TORRANCE
State CA
ZIP 90501
Phone 310 517-1851
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 MICHELLE PARK

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