CLIA lab

CLIA 05D2307300: Walgreens 09102

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

CLIA number 05D2307300 belongs to Walgreens 09102 in Brentwood, CA.

Certificate of Waiver, effective July 5, 2026, expires July 4, 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 5, 2026
Certificate expiration
July 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 5, 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
05D2307300
Lab name
Walgreens 09102
Address
2271 Balfour Rd, Brentwood, CA 94513
Phone
(925) 626-3491
Fax
(925) 626-3571

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 09102 in Brentwood?

05D2307300, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens 09102 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2307300 expire?

The CMS file lists July 4, 2028 as the certificate expiration date; the certificate took effect July 5, 2026.

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