05D2309427 CLIA NUMBER - WALGREENS 11707

Laboratory Demographics

  • CLIA Code: 05D2309427
  • Facility Name: WALGREENS 11707
  • Facility Address: 1801 N ROSE AVE
    OXNARD, CA
    ZIP 93030
  • Facility Phone: 805 604-7531
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHNNIE D. REGLOS
  • NPI Number: 1003131392
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2309427
LAB Type Pharmacy
Facility Name WALGREENS 11707
Street 1801 N ROSE AVE
City OXNARD
State CA
ZIP 93030
Phone 805 604-7531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Pharmacy
Lab Director JOHNNIE D. REGLOS

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