05D2308178 CLIA NUMBER - WALGREENS 09884

Laboratory Demographics

  • CLIA Code: 05D2308178
  • Facility Name: WALGREENS 09884
  • Facility Address: 40663 CALIFORNIA OAKS RD
    MURRIETA, CA
    ZIP 92562
  • Facility Phone: 951 304-1219
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRISTAN VO
  • NPI Number: 1013036045
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2308178
LAB Type Pharmacy
Facility Name WALGREENS 09884
Street 40663 CALIFORNIA OAKS RD
City MURRIETA
State CA
ZIP 92562
Phone 951 304-1219
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Pharmacy
Lab Director TRISTAN VO

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