05D2307174 CLIA NUMBER - WALGREENS 07286

Laboratory Demographics

  • CLIA Code: 05D2307174
  • Facility Name: WALGREENS 07286
  • Facility Address: 13052 NEWPORT AVE
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 714 505-6021
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUNG Q. NGHIEM
  • NPI Number: 1407861792
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307174
LAB Type Pharmacy
Facility Name WALGREENS 07286
Street 13052 NEWPORT AVE
City TUSTIN
State CA
ZIP 92780
Phone 714 505-6021
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 HUNG Q. NGHIEM

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