05D2307102 CLIA NUMBER - WALGREENS 09229

Laboratory Demographics

  • CLIA Code: 05D2307102
  • Facility Name: WALGREENS 09229
  • Facility Address: 30015 DATE PALM DR
    CATHEDRAL CITY, CA
    ZIP 92234
  • Facility Phone: 760 770-3659
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARET GERAGOSIAN
  • NPI Number: 1063429066
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307102
LAB Type Pharmacy
Facility Name WALGREENS 09229
Street 30015 DATE PALM DR
City CATHEDRAL CITY
State CA
ZIP 92234
Phone 760 770-3659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Pharmacy
Lab Director MARET GERAGOSIAN

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