CLIA lab

CLIA 05D2302504: Walgreens 09030

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

CLIA number 05D2302504 belongs to Walgreens 09030 in Ridgecrest, CA.

Certificate of Waiver, effective April 10, 2026, expires April 9, 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
April 10, 2026
Certificate expiration
April 9, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 10, 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
05D2302504
Lab name
Walgreens 09030
Address
101 W Drummond Ave, Ridgecrest, CA 93555
Phone
(760) 384-2358
Fax
(760) 384-2493

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.

Other labs in Ridgecrest, CA

Related

Questions

What is the CLIA number for Walgreens 09030 in Ridgecrest?

05D2302504, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens 09030 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2302504 expire?

The CMS file lists April 9, 2028 as the certificate expiration date; the certificate took effect April 10, 2026.

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