05D2301451 CLIA NUMBER - WALGREENS 11934

Laboratory Demographics

  • CLIA Code: 05D2301451
  • Facility Name: WALGREENS 11934
  • Facility Address: 444 W F ST
    OAKDALE, CA
    ZIP 95361
  • Facility Phone: 209 845-2820
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEEPA HARIDAS
  • NPI Number: 1548576952
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301451
LAB Type Pharmacy
Facility Name WALGREENS 11934
Street 444 W F ST
City OAKDALE
State CA
ZIP 95361
Phone 209 845-2820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Pharmacy
Lab Director DEEPA HARIDAS

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