CLIA lab
CLIA 05D2295567: Walgreens 02961
Lodi, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2295567 belongs to Walgreens 02961 in Lodi, CA.
Certificate of Waiver, effective December 13, 2025, expires December 12, 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
- December 13, 2025
- Certificate expiration
- December 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 13, 2023
- 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
- 05D2295567
- Lab name
- Walgreens 02961
- Address
- 75 N Ham Ln, Lodi, CA 95242
- Phone
- (209) 369-8575
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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- Adventist Health Lodi MemorialCertificate of Waiver, Community clinic05D0862779
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D0885857
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2035089
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2095753
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D1097139
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2120316
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2341365
- Adventist Health Physicians Network - Cancer CareCertificate of Waiver, Physician office05D2212313
- Adventist Health Physicians Network - Lodi UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office05D2154128
Related
Questions
What is the CLIA number for Walgreens 02961 in Lodi?
05D2295567, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 02961 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2295567 expire?
The CMS file lists December 12, 2027 as the certificate expiration date; the certificate took effect December 13, 2025.