05D2307291 CLIA NUMBER - WALGREENS 04354

Laboratory Demographics

  • CLIA Code: 05D2307291
  • Facility Name: WALGREENS 04354
  • Facility Address: 6012 WARNER AVE
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Facility Phone: 714 375-5443
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLES D. GRIFFIN
  • NPI Number: 1821003153
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2307291
LAB Type Pharmacy
Facility Name WALGREENS 04354
Street 6012 WARNER AVE
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone 714 375-5443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Pharmacy
Lab Director CHARLES D. GRIFFIN

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