05D2298358 CLIA NUMBER - WALGREENS 06142

Laboratory Demographics

  • CLIA Code: 05D2298358
  • Facility Name: WALGREENS 06142
  • Facility Address: 9200 ELK GROVE FLORIN RD
    ELK GROVE, CA
    ZIP 95624
  • Facility Phone: 916 687-3251
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LALA D. BALLESTEROS
  • NPI Number: 1023025020
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298358
LAB Type Pharmacy
Facility Name WALGREENS 06142
Street 9200 ELK GROVE FLORIN RD
City ELK GROVE
State CA
ZIP 95624
Phone 916 687-3251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Pharmacy
Lab Director LALA D. BALLESTEROS

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