05D2301667 CLIA NUMBER - WALGREENS 07191

Laboratory Demographics

  • CLIA Code: 05D2301667
  • Facility Name: WALGREENS 07191
  • Facility Address: 6199 SUNRISE BLVD
    CITRUS HEIGHTS, CA
    ZIP 95610
  • Facility Phone: 916 726-6802
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SONTUNG T. TANG
  • NPI Number: 1750581740
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2301667
LAB Type Pharmacy
Facility Name WALGREENS 07191
Street 6199 SUNRISE BLVD
City CITRUS HEIGHTS
State CA
ZIP 95610
Phone 916 726-6802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Pharmacy
Lab Director SONTUNG T. TANG

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