05D2301262 CLIA NUMBER - WALGREENS 13000

Laboratory Demographics

  • CLIA Code: 05D2301262
  • Facility Name: WALGREENS 13000
  • Facility Address: 860 EAST AVE
    CHICO, CA
    ZIP 95926
  • Facility Phone: 530 899-0887
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MERCY Y. NELLY
  • NPI Number: 1790790079
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301262
LAB Type Pharmacy
Facility Name WALGREENS 13000
Street 860 EAST AVE
City CHICO
State CA
ZIP 95926
Phone 530 899-0887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Pharmacy
Lab Director MERCY Y. NELLY

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