05D2223014 CLIA NUMBER - WALGREENS #12259

Laboratory Demographics

  • CLIA Code: 05D2223014
  • Facility Name: WALGREENS #12259
  • Facility Address: 1640 LINCOLN RD
    YUBA CITY, CA
    ZIP 95993
  • Facility Phone: 530 674-3894
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MUNSH KAMBOJ
  • NPI Number: 1275840050
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2223014
LAB Type Pharmacy
Facility Name WALGREENS #12259
Street 1640 LINCOLN RD
City YUBA CITY
State CA
ZIP 95993
Phone 530 674-3894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director MUNSH KAMBOJ

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