05D2307185 CLIA NUMBER - WALGREENS 06954

Laboratory Demographics

  • CLIA Code: 05D2307185
  • Facility Name: WALGREENS 06954
  • Facility Address: 3446 W BALL RD
    ANAHEIM, CA
    ZIP 92804
  • Facility Phone: 714 821-3112
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THUY-TIEN NGUYEN
  • NPI Number: 1013922384
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307185
LAB Type Pharmacy
Facility Name WALGREENS 06954
Street 3446 W BALL RD
City ANAHEIM
State CA
ZIP 92804
Phone 714 821-3112
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 THUY-TIEN NGUYEN

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