05D2306110 CLIA NUMBER - WALGREENS 02277

Laboratory Demographics

  • CLIA Code: 05D2306110
  • Facility Name: WALGREENS 02277
  • Facility Address: 602
    MARYSVILLE, CA
    ZIP 95901
  • Facility Phone: 530 743-2594
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AALAM S. BAL
  • NPI Number: 1578578811
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2306110
LAB Type Pharmacy
Facility Name WALGREENS 02277
Street 602
City MARYSVILLE
State CA
ZIP 95901
Phone 530 743-2594
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Pharmacy
Lab Director AALAM S. BAL

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