05D2303499 CLIA NUMBER - WALGREENS 10201

Laboratory Demographics

  • CLIA Code: 05D2303499
  • Facility Name: WALGREENS 10201
  • Facility Address: 170 W EL MONTE WAY
    DINUBA, CA
    ZIP 93618
  • Facility Phone: 559 595-1649
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: XEE VANG
  • NPI Number: 1033282710
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2303499
LAB Type Pharmacy
Facility Name WALGREENS 10201
Street 170 W EL MONTE WAY
City DINUBA
State CA
ZIP 93618
Phone 559 595-1649
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Pharmacy
Lab Director XEE VANG

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