05D2303210 CLIA NUMBER - WALGREENS 09723

Laboratory Demographics

  • CLIA Code: 05D2303210
  • Facility Name: WALGREENS 09723
  • Facility Address: 3131 W HAMMER LN
    STOCKTON, CA
    ZIP 95209
  • Facility Phone: 209 476-8819
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZACHARY M. HARDEN
  • NPI Number: 1770844227
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2303210
LAB Type Pharmacy
Facility Name WALGREENS 09723
Street 3131 W HAMMER LN
City STOCKTON
State CA
ZIP 95209
Phone 209 476-8819
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Pharmacy
Lab Director ZACHARY M. HARDEN

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