05D2223008 CLIA NUMBER - WALGREENS #02170

Laboratory Demographics

  • CLIA Code: 05D2223008
  • Facility Name: WALGREENS #02170
  • Facility Address: 12120 NEW AIRPORT RD
    AUBURN, CA
    ZIP 95603
  • Facility Phone: 530 888-9235
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE M. WHALLEY
  • NPI Number: 1932348158
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2223008
LAB Type Pharmacy
Facility Name WALGREENS #02170
Street 12120 NEW AIRPORT RD
City AUBURN
State CA
ZIP 95603
Phone 530 888-9235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Pharmacy
Lab Director MICHELLE M. WHALLEY

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