05D2060624 CLIA NUMBER - WALGREENS #06722

Laboratory Demographics

  • CLIA Code: 05D2060624
  • Facility Name: WALGREENS #06722
  • Facility Address: 4610 SONOMA HWY
    SANTA ROSA, CA
    ZIP 95409
  • Facility Phone: 707 538-9275
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARIANA RHOTEN
  • NPI Number: 1326053604
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2060624
LAB Type Pharmacy
Facility Name WALGREENS #06722
Street 4610 SONOMA HWY
City SANTA ROSA
State CA
ZIP 95409
Phone 707 538-9275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Pharmacy
Lab Director ARIANA RHOTEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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