05D2222018 CLIA NUMBER - WALGREENS #12527

Laboratory Demographics

  • CLIA Code: 05D2222018
  • Facility Name: WALGREENS #12527
  • Facility Address: 2293 RIVER OAKS BLVD
    OLIVEHURST, CA
    ZIP 95961
  • Facility Phone: 530 634-9980
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUJATHA NARAYANA
  • NPI Number: 1790926319
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2222018
LAB Type Pharmacy
Facility Name WALGREENS #12527
Street 2293 RIVER OAKS BLVD
City OLIVEHURST
State CA
ZIP 95961
Phone 530 634-9980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director SUJATHA NARAYANA

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