05D2223070 CLIA NUMBER - WALGREENS #15433

Laboratory Demographics

  • CLIA Code: 05D2223070
  • Facility Name: WALGREENS #15433
  • Facility Address: 600 TRES PINOS RD
    HOLLISTER, CA
    ZIP 95023
  • Facility Phone: 831 638-1024
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEBRA MAGNESS
  • NPI Number: 1548697782
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2223070
LAB Type Pharmacy
Facility Name WALGREENS #15433
Street 600 TRES PINOS RD
City HOLLISTER
State CA
ZIP 95023
Phone 831 638-1024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director DEBRA MAGNESS

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