05D2308176 CLIA NUMBER - WALGREENS 09641

Laboratory Demographics

  • CLIA Code: 05D2308176
  • Facility Name: WALGREENS 09641
  • Facility Address: 72027 DINAH SHORE DR
    RANCHO MIRAGE, CA
    ZIP 92270
  • Facility Phone: 760 321-4892
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHARL MELEK
  • NPI Number: 1467648618
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2308176
LAB Type Pharmacy
Facility Name WALGREENS 09641
Street 72027 DINAH SHORE DR
City RANCHO MIRAGE
State CA
ZIP 92270
Phone 760 321-4892
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Pharmacy
Lab Director SHARL MELEK

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