05D2059479 CLIA NUMBER - WALGREENS # 03084

Laboratory Demographics

  • CLIA Code: 05D2059479
  • Facility Name: WALGREENS # 03084
  • Facility Address: 7800 OLD REDWOOD HWY.
    COTATI, CA
    ZIP 94931
  • Facility Phone: 707 795-6014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARIANA R. RHOTEN
  • NPI Number: 1225043508
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2059479
LAB Type Pharmacy
Facility Name WALGREENS # 03084
Street 7800 OLD REDWOOD HWY.
City COTATI
State CA
ZIP 94931
Phone 707 795-6014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Pharmacy
Lab Director ARIANA R. RHOTEN

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This page was last updated on: 9/29/2025