05D2295679 CLIA NUMBER - WALGREENS 03330

Laboratory Demographics

  • CLIA Code: 05D2295679
  • Facility Name: WALGREENS 03330
  • Facility Address: 1640 R ST
    MERCED, CA
    ZIP 95340
  • Facility Phone: 209 722-1645
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HE SHUNING
  • NPI Number: 1336155910
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2295679
LAB Type Pharmacy
Facility Name WALGREENS 03330
Street 1640 R ST
City MERCED
State CA
ZIP 95340
Phone 209 722-1645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Pharmacy
Lab Director HE SHUNING

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