05D2299467 CLIA NUMBER - WALGREENS 06419

Laboratory Demographics

  • CLIA Code: 05D2299467
  • Facility Name: WALGREENS 06419
  • Facility Address: 9180 FRANKLIN BLVD
    ELK GROVE, CA
    ZIP 95758
  • Facility Phone: 916 427-3739
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VIVIAN VU
  • NPI Number: 1801801188
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2299467
LAB Type Pharmacy
Facility Name WALGREENS 06419
Street 9180 FRANKLIN BLVD
City ELK GROVE
State CA
ZIP 95758
Phone 916 427-3739
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Pharmacy
Lab Director VIVIAN VU

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