05D2302028 CLIA NUMBER - WALGREENS 07313

Laboratory Demographics

  • CLIA Code: 05D2302028
  • Facility Name: WALGREENS 07313
  • Facility Address: 1700 STANDIFORD AVE
    MODESTO, CA
    ZIP 95350
  • Facility Phone: 209 527-5416
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KANWARDEEP DHILLON
  • NPI Number: 1689680241
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2302028
LAB Type Pharmacy
Facility Name WALGREENS 07313
Street 1700 STANDIFORD AVE
City MODESTO
State CA
ZIP 95350
Phone 209 527-5416
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 KANWARDEEP DHILLON

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