CLIA lab

CLIA 05D2063754: Walgreens #02865

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

CLIA number 05D2063754 belongs to Walgreens #02865 in Modesto, CA.

Certificate of Waiver, effective July 26, 2026, expires July 25, 2028.

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
July 26, 2026
Certificate expiration
July 25, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 7, 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
05D2063754
Lab name
Walgreens #02865
Address
1101 Mchenry Ave., Modesto, CA 95350
Phone
(209) 577-8695
Fax
(209) 577-4570

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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Related

Questions

What is the CLIA number for Walgreens #02865 in Modesto?

05D2063754, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #02865 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2063754 expire?

The CMS file lists July 25, 2028 as the certificate expiration date; the certificate took effect July 26, 2026.

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