05D2230111 CLIA NUMBER - WALGREENS# 12421

Laboratory Demographics

  • CLIA Code: 05D2230111
  • Facility Name: WALGREENS# 12421
  • Facility Address: 13390 POWAY RD
    POWAY, CA
    ZIP 92064
  • Facility Phone: 858 435-7580
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: TRAM ANH LE
  • NPI Number: 1316264559
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2230111
LAB Type Health Fair
Facility Name WALGREENS# 12421
Street 13390 POWAY RD
City POWAY
State CA
ZIP 92064
Phone 858 435-7580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2023
Certificate Expiration Date 7/19/2025
Facility Type Health Fair
Lab Director TRAM ANH LE

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: 3/20/2025