05D2295557 CLIA NUMBER - WALGREENS 02770

Laboratory Demographics

  • CLIA Code: 05D2295557
  • Facility Name: WALGREENS 02770
  • Facility Address: 7929 LOWER SACRAMENTO RD
    STOCKTON, CA
    ZIP 95210
  • Facility Phone: 209 474-0880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MYS SULEIMAN HABIB
  • NPI Number: 1851306120
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295557
LAB Type Pharmacy
Facility Name WALGREENS 02770
Street 7929 LOWER SACRAMENTO RD
City STOCKTON
State CA
ZIP 95210
Phone 209 474-0880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director MYS SULEIMAN HABIB

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