05D2188226 CLIA NUMBER - TEN ACRES PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2188226
  • Facility Name: TEN ACRES PHARMACY
  • Facility Address: 2930 FREEPORT BLVD
    SACRAMENTO, CA
    ZIP 95818
  • Facility Phone: 916 942-9575
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SONA FRAUSTO
  • NPI Number: 1780206557
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2188226
LAB Type Pharmacy
Facility Name TEN ACRES PHARMACY
Street 2930 FREEPORT BLVD
City SACRAMENTO
State CA
ZIP 95818
Phone 916 942-9575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Pharmacy
Lab Director SONA FRAUSTO

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