05D2297223 CLIA NUMBER - WALGREENS 05863

Laboratory Demographics

  • CLIA Code: 05D2297223
  • Facility Name: WALGREENS 05863
  • Facility Address: 2525 HARRIS ST
    EUREKA, CA
    ZIP 95503
  • Facility Phone: 707 444-0521
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOKTHOONG CHONG
  • NPI Number: 1669487955
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297223
LAB Type Pharmacy
Facility Name WALGREENS 05863
Street 2525 HARRIS ST
City EUREKA
State CA
ZIP 95503
Phone 707 444-0521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Pharmacy
Lab Director MOKTHOONG CHONG

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