05D2059468 CLIA NUMBER - WALGREENS # 03297

Laboratory Demographics

  • CLIA Code: 05D2059468
  • Facility Name: WALGREENS # 03297
  • Facility Address: 3093 MARLOW RD.
    SANTA ROSA, CA
    ZIP 95403
  • Facility Phone: 707 569-8504
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAROLINE KALAW, PIC
  • NPI Number: 1043225329
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2059468
LAB Type Pharmacy
Facility Name WALGREENS # 03297
Street 3093 MARLOW RD.
City SANTA ROSA
State CA
ZIP 95403
Phone 707 569-8504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2023
Certificate Expiration Date 5/4/2025
Facility Type Pharmacy
Lab Director CAROLINE KALAW, PIC

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This page was last updated on: 3/20/2025