05D2298424 CLIA NUMBER - WALGREENS 06706

Laboratory Demographics

  • CLIA Code: 05D2298424
  • Facility Name: WALGREENS 06706
  • Facility Address: 7155 24TH ST
    SACRAMENTO, CA
    ZIP 95822
  • Facility Phone: 916 399-9674
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERRY PHONXANASINH
  • NPI Number: 1972510972
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298424
LAB Type Pharmacy
Facility Name WALGREENS 06706
Street 7155 24TH ST
City SACRAMENTO
State CA
ZIP 95822
Phone 916 399-9674
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 TERRY PHONXANASINH

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