05D2297171 CLIA NUMBER - WALGREENS 05374

Laboratory Demographics

  • CLIA Code: 05D2297171
  • Facility Name: WALGREENS 05374
  • Facility Address: 2900 STOCKTON BLVD
    SACRAMENTO, CA
    ZIP 95817
  • Facility Phone: 916 739-1621
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VAN POWERS
  • NPI Number: 1821003104
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2297171
LAB Type Pharmacy
Facility Name WALGREENS 05374
Street 2900 STOCKTON BLVD
City SACRAMENTO
State CA
ZIP 95817
Phone 916 739-1621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Pharmacy
Lab Director VAN POWERS

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