CLIA lab

CLIA 05D2063617: Walgreens # 04559

Mill Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2063617 belongs to Walgreens # 04559 in Mill Valley, CA.

Certificate of Waiver, effective August 14, 2025, expires August 13, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 14, 2025
Certificate expiration
August 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 6, 2013
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2063617
Lab name
Walgreens # 04559
Address
227 Shoreline Hwy., Mill Valley, CA 94941
Phone
(415) 380-8402
Fax
(415) 380-9064

Annual test volume the lab reported

Waived tests
12,775

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Walgreens # 04559 in Mill Valley?

05D2063617, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens # 04559 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2063617 expire?

The CMS file lists August 13, 2027 as the certificate expiration date; the certificate took effect August 14, 2025.

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