CLIA lab

CLIA 05D2300811: Walgreens 02434

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

CLIA number 05D2300811 belongs to Walgreens 02434 in Tracy, CA.

Certificate of Waiver, effective March 15, 2026, expires March 14, 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
March 15, 2026
Certificate expiration
March 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 15, 2024
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
05D2300811
Lab name
Walgreens 02434
Address
1830 W 11th St, Tracy, CA 95376
Phone
(209) 832-1498
Fax
(209) 832-1832

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 02434 in Tracy?

05D2300811, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens 02434 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2300811 expire?

The CMS file lists March 14, 2028 as the certificate expiration date; the certificate took effect March 15, 2026.

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