05D2259226 CLIA NUMBER - WALGREENS #06036

Laboratory Demographics

  • CLIA Code: 05D2259226
  • Facility Name: WALGREENS #06036
  • Facility Address: 4051 DOUGLAS BLVD
    GRANITE BAY, CA
    ZIP 95746
  • Facility Phone: 916 791-7576
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREA REGO
  • NPI Number: 1558376889
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2259226
LAB Type Pharmacy
Facility Name WALGREENS #06036
Street 4051 DOUGLAS BLVD
City GRANITE BAY
State CA
ZIP 95746
Phone 916 791-7576
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Pharmacy
Lab Director ANDREA REGO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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