05D2221224 CLIA NUMBER - WALGREENS #06141

Laboratory Demographics

  • CLIA Code: 05D2221224
  • Facility Name: WALGREENS #06141
  • Facility Address: 2703 ORO DAM BLVD E
    OROVILLE, CA
    ZIP 95966
  • Facility Phone: 530 534-1283
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAVI Y. SHAH
  • NPI Number: 1710992094
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Pharmacy
Lab Director RAVI Y. SHAH

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