05D2297855 CLIA NUMBER - WALGREENS 04415

Laboratory Demographics

  • CLIA Code: 05D2297855
  • Facility Name: WALGREENS 04415
  • Facility Address: 3098 G ST
    MERCED, CA
    ZIP 95340
  • Facility Phone: 209 385-3438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID CHANG
  • NPI Number: 1578577805
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297855
LAB Type Pharmacy
Facility Name WALGREENS 04415
Street 3098 G ST
City MERCED
State CA
ZIP 95340
Phone 209 385-3438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Pharmacy
Lab Director DAVID CHANG

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