05D2306169 CLIA NUMBER - WALGREENS 10242

Laboratory Demographics

  • CLIA Code: 05D2306169
  • Facility Name: WALGREENS 10242
  • Facility Address: 78218 VARNER RD
    PALM DESERT, CA
    ZIP 92211
  • Facility Phone: 760 200-4382
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KARANKUMAR SAVALIYA
  • NPI Number: 1528252178
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2306169
LAB Type Pharmacy
Facility Name WALGREENS 10242
Street 78218 VARNER RD
City PALM DESERT
State CA
ZIP 92211
Phone 760 200-4382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Pharmacy
Lab Director KARANKUMAR SAVALIYA

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