05D2298679 CLIA NUMBER - WALGREENS 05499

Laboratory Demographics

  • CLIA Code: 05D2298679
  • Facility Name: WALGREENS 05499
  • Facility Address: 7299 LAGUNA BLVD
    ELK GROVE, CA
    ZIP 95758
  • Facility Phone: 916 691-4412
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HIEP D. NGUYEN
  • NPI Number: 1326054701
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2298679
LAB Type Pharmacy
Facility Name WALGREENS 05499
Street 7299 LAGUNA BLVD
City ELK GROVE
State CA
ZIP 95758
Phone 916 691-4412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Pharmacy
Lab Director HIEP D. NGUYEN

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