05D2221224 CLIA NUMBER - WALGREENS #06141

Laboratory Demographics

CLIA Number: 05D2221224

Facility Name: WALGREENS #06141

Facility Address:
2703 ORO DAM BLVD E
OROVILLE, CA
ZIP 95966
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Facility Phone Number: 530 534-1283

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1710992094

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	05D2221224
LAB Type	Pharmacy
Facility Name	WALGREENS #06141
Street	2703 ORO DAM BLVD E
City	OROVILLE
State	CA
ZIP	95966
Phone	530 534-1283
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024