05D2308180 CLIA NUMBER - WALGREENS 09977

Laboratory Demographics

  • CLIA Code: 05D2308180
  • Facility Name: WALGREENS 09977
  • Facility Address: 1802 S HARBOR BLVD
    ANAHEIM, CA
    ZIP 92802
  • Facility Phone: 714 808-0126
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID CHANG
  • NPI Number: 1811903297
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2308180
LAB Type Pharmacy
Facility Name WALGREENS 09977
Street 1802 S HARBOR BLVD
City ANAHEIM
State CA
ZIP 92802
Phone 714 808-0126
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 DAVID CHANG

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