05D2259450 CLIA NUMBER - WALGREENS #13001

Laboratory Demographics

  • CLIA Code: 05D2259450
  • Facility Name: WALGREENS #13001
  • Facility Address: 828 NEWVILLE RD
    ORLAND, CA
    ZIP 95963
  • Facility Phone: 530 865-9859
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA L. WADLOW
  • NPI Number: 1497086128
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2259450
LAB Type Pharmacy
Facility Name WALGREENS #13001
Street 828 NEWVILLE RD
City ORLAND
State CA
ZIP 95963
Phone 530 865-9859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Pharmacy
Lab Director REBECCA L. WADLOW

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