05D2307244 CLIA NUMBER - WALGREENS 06718

Laboratory Demographics

  • CLIA Code: 05D2307244
  • Facility Name: WALGREENS 06718
  • Facility Address: 2730 SHAFFER RD
    ATWATER, CA
    ZIP 95301
  • Facility Phone: 209 357-9430
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FANSHAWE CHENG
  • NPI Number: 1346255635
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2307244
LAB Type Pharmacy
Facility Name WALGREENS 06718
Street 2730 SHAFFER RD
City ATWATER
State CA
ZIP 95301
Phone 209 357-9430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Pharmacy
Lab Director FANSHAWE CHENG

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