05D2297599 CLIA NUMBER - WALGREENS 02680

Laboratory Demographics

  • CLIA Code: 05D2297599
  • Facility Name: WALGREENS 02680
  • Facility Address: 15 W HARDING WAY
    STOCKTON, CA
    ZIP 95204
  • Facility Phone: 209 941-9632
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARIN L. TOY
  • NPI Number: 1952316234
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297599
LAB Type Pharmacy
Facility Name WALGREENS 02680
Street 15 W HARDING WAY
City STOCKTON
State CA
ZIP 95204
Phone 209 941-9632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Pharmacy
Lab Director KARIN L. TOY

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