05D2302025 CLIA NUMBER - WALGREENS 15398

Laboratory Demographics

  • CLIA Code: 05D2302025
  • Facility Name: WALGREENS 15398
  • Facility Address: 660 W MARCH LN
    STOCKTON, CA
    ZIP 95207
  • Facility Phone: 209 478-0891
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD OCHONMA
  • NPI Number: 1912912247
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2302025
LAB Type Pharmacy
Facility Name WALGREENS 15398
Street 660 W MARCH LN
City STOCKTON
State CA
ZIP 95207
Phone 209 478-0891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Pharmacy
Lab Director RICHARD OCHONMA

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