05D2307265 CLIA NUMBER - WALGREENS 06496

Laboratory Demographics

  • CLIA Code: 05D2307265
  • Facility Name: WALGREENS 06496
  • Facility Address: 2321 HAWTHORNE BLVD
    REDONDO BEACH, CA
    ZIP 90278
  • Facility Phone: 310 214-4891
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BABAK MAHER
  • NPI Number: 1093098212
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2307265
LAB Type Pharmacy
Facility Name WALGREENS 06496
Street 2321 HAWTHORNE BLVD
City REDONDO BEACH
State CA
ZIP 90278
Phone 310 214-4891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Pharmacy
Lab Director BABAK MAHER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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