05D2296300 CLIA NUMBER - WALGREENS 00993

Laboratory Demographics

  • CLIA Code: 05D2296300
  • Facility Name: WALGREENS 00993
  • Facility Address: 855 COLUSA AVE
    YUBA CITY, CA
    ZIP 95991
  • Facility Phone: 530 674-5133
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HAZEL C. MARCELINO
  • NPI Number: 1659386928
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2296300
LAB Type Pharmacy
Facility Name WALGREENS 00993
Street 855 COLUSA AVE
City YUBA CITY
State CA
ZIP 95991
Phone 530 674-5133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Pharmacy
Lab Director HAZEL C. MARCELINO

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