05D2062373 CLIA NUMBER - WALGREENS #04756

Laboratory Demographics

  • CLIA Code: 05D2062373
  • Facility Name: WALGREENS #04756
  • Facility Address: 44840 MONTEREY AVE
    PALM DESERT, CA
    ZIP 92260
  • Facility Phone: 760 674-0716
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARILYN C. JEROMINSKI
  • NPI Number: 1154336436
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2062373
LAB Type Pharmacy
Facility Name WALGREENS #04756
Street 44840 MONTEREY AVE
City PALM DESERT
State CA
ZIP 92260
Phone 760 674-0716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Pharmacy
Lab Director MARILYN C. JEROMINSKI

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