05D2221227 CLIA NUMBER - WALGREENS #05781

Laboratory Demographics

  • CLIA Code: 05D2221227
  • Facility Name: WALGREENS #05781
  • Facility Address: 1775 EUREKA WAY
    REDDING, CA
    ZIP 96001
  • Facility Phone: 530 241-3294
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THAO N. VIDAL
  • NPI Number: 1881609113
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2221227
LAB Type Pharmacy
Facility Name WALGREENS #05781
Street 1775 EUREKA WAY
City REDDING
State CA
ZIP 96001
Phone 530 241-3294
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 THAO N. VIDAL

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