05D2302489 CLIA NUMBER - WALGREENS 15986

Laboratory Demographics

  • CLIA Code: 05D2302489
  • Facility Name: WALGREENS 15986
  • Facility Address: 8298 LANDER AVE
    HILMAR, CA
    ZIP 95324
  • Facility Phone: 209 226-7496
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRABDEEP S. GILL
  • NPI Number: 1134559149
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2302489
LAB Type Pharmacy
Facility Name WALGREENS 15986
Street 8298 LANDER AVE
City HILMAR
State CA
ZIP 95324
Phone 209 226-7496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Pharmacy
Lab Director PRABDEEP S. GILL

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