05D2299645 CLIA NUMBER - WALGREENS 09885

Laboratory Demographics

  • CLIA Code: 05D2299645
  • Facility Name: WALGREENS 09885
  • Facility Address: 2465 E PALM CANYON DR
    PALM SPRINGS, CA
    ZIP 92264
  • Facility Phone: 760 322-9351
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSALIND MONTGOMERY
  • NPI Number: 1821261041
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2299645
LAB Type Pharmacy
Facility Name WALGREENS 09885
Street 2465 E PALM CANYON DR
City PALM SPRINGS
State CA
ZIP 92264
Phone 760 322-9351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Pharmacy
Lab Director ROSALIND MONTGOMERY

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