05D2307373 CLIA NUMBER - WALGREENS 12140

Laboratory Demographics

  • CLIA Code: 05D2307373
  • Facility Name: WALGREENS 12140
  • Facility Address: 4935 WARNER AVE
    HUNTINGTON BEACH, CA
    ZIP 92649
  • Facility Phone: 714 377-3756
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NGOCYEN T. NGO
  • NPI Number: 1043515182
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2307373
LAB Type Pharmacy
Facility Name WALGREENS 12140
Street 4935 WARNER AVE
City HUNTINGTON BEACH
State CA
ZIP 92649
Phone 714 377-3756
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Pharmacy
Lab Director NGOCYEN T. NGO

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